Individual
CASSIE REBECCA WULFEKUHLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2400 32ND AVE S, FARGO, ND 58103-5800
(701) 234-7887
Mailing address
203 2ND AVENUE, COLFAX, ND 58018
(701) 372-3602
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1196
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75Q01WU
BCBS
ND
Enumeration date
11/03/2006
Last updated
07/08/2007
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