Individual
MAUREEN TOMASZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1207 PRAIRIE PKWY, SUITE A, WEST FARGO, ND 58078-3145
(701) 356-0062
(701) 356-5412
Mailing address
1242 6TH ST E, WEST FARGO, ND 58078-3024
(701) 388-7592
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
474
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
58697
—
ND
01
—
TOM27042
BCBS PROVIDER NUMBER
ND
Enumeration date
05/31/2007
Last updated
07/09/2007
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