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Individual

BRITTANY ILLIG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
1015 S BROADWAY STE 306, MINOT, ND 58701-4667
(701) 857-5082
Mailing address
1106 LILAC CT UNIT B, GRAND FORKS AFB, ND 58204-1805
(970) 331-3770

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1268A
ND

Other

Enumeration date
01/22/2022
Last updated
01/22/2022
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