Individual
DR. ALICIA BULLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2016 S WASHINGTON ST, GRAND FORKS, ND 58201-6342
(701) 775-8934
Mailing address
2016 S WASHINGTON ST, GRAND FORKS, ND 58201-6342
(701) 775-8934
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2210
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2210
ND STATE BOARD
—
Enumeration date
10/02/2019
Last updated
10/02/2019
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