Individual
MCKENNA J MYRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1340 W VILLARD ST STE B, DICKINSON, ND 58601-4632
(701) 495-3611
(701) 483-4281
Mailing address
1120 11TH AVE W, DICKINSON, ND 58601-3652
(701) 690-2538
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/19/2024
Last updated
09/09/2024
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