Individual
DEBRA VAAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
306 RAYJAY CIR, TAYLOR, ND 58656-7130
(218) 434-0437
Mailing address
306 RAYJAY CIR, TAYLOR, ND 58656-7130
(701) 974-3736
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
225200000X
ND
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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