Individual
MICHELLE TERESA PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
125 13TH AVE W, WEST FARGO, ND 58078-2646
(701) 478-9370
(701) 478-9372
Mailing address
125 13TH AVE W, WEST FARGO, ND 58078-2646
(701) 478-9370
(701) 478-9372
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5073
MN
225100000X
Physical Therapist
Primary
910
ND
Other
Enumeration date
01/07/2016
Last updated
01/07/2016
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