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Individual

SUZANNE R SANDSMARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPT

Contact information

Practice address
3838 12TH AVE N, FARGO, ND 58102-2931
(701) 234-4700
(701) 234-4757
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2824
MN
225100000X
Physical Therapist
Primary
538
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
313645100
MN
05
52081
ND
Enumeration date
07/12/2006
Last updated
11/09/2023
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