Individual
CHELSE LAQUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1502 13TH AVE W, WILLISTON, ND 58801-3825
(701) 572-6766
Mailing address
PO BOX 2628, WILLISTON, ND 58802-2628
(016) 514-3257
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
ND
Other
Enumeration date
05/11/2014
Last updated
09/30/2019
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