Individual
MANDY WILLIAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
749 S 30TH ST APT 23, GRAND FORKS, ND 58201-4082
(218) 230-2171
Mailing address
1616 KINGS VIEW DR, GRAND FORKS, ND 58201-9266
(218) 230-0853
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2900
ND
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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