Individual
GAYLE J SHATEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1351 NORTH BROADWAY, FARGO, ND 58102
(701) 277-7950
(701) 237-5649
Mailing address
1351 NORTH BROADWAY, FARGO, ND 58102
(701) 277-7950
(701) 237-5649
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1367
ND
Other
Enumeration date
10/06/2009
Last updated
10/06/2009
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