Individual
AMY FOLVAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1301 15TH AVENUE WEST, WILLISTON, ND 58801
(701) 774-7400
(701) 774-7479
Mailing address
1301 15TH AVENUE WEST, WILLISTON, ND 58801
(701) 774-7400
(701) 774-7479
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
695
ND
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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