Individual
MELISSA JO HALLGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
810 N WELO ST, TIOGA, ND 58852-7157
(701) 664-3305
(701) 664-4975
Mailing address
PO BOX 159, TIOGA, ND 58852-0159
(701) 664-3305
(701) 664-4975
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
758
ND
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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