Individual
MARIE ELAINE FRAGODT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
800 S MAIN AVE, RUGBY, ND 58368-2118
(701) 776-5261
(701) 776-5448
Mailing address
800 S MAIN AVE, RUGBY, ND 58368-2118
(701) 776-5261
(701) 776-5448
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
472
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51080
—
ND
Enumeration date
05/27/2006
Last updated
07/08/2007
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