Individual
MRS. KAYLA K DORRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1679 6TH AVE W, DICKINSON, ND 58601-2904
(701) 483-1000
Mailing address
1679 6TH AVE W, DICKINSON, ND 58601-2904
(701) 483-1000
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0908
ND
Other
Enumeration date
07/14/2009
Last updated
11/11/2020
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