Individual
HIPPOLYTE BERNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
615 6TH ST SE, STANLEY, ND 58784-4444
(701) 628-8646
Mailing address
PO BOX 399, STANLEY, ND 58784-0399
(701) 628-8646
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16422-24
WI
225100000X
Physical Therapist
CP022553T
ND
225100000X
Physical Therapist
PT-5780-0
HI
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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