Individual
JAMAL IBNELHAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3102 UNIVERSITY DR S, FARGO, ND 58103-6004
(701) 293-7750
Mailing address
25195 SW PARKWAY AVE STE 205, WILSONVILLE, OR 97070-9689
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2295
ND
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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