Individual
TARA M HAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3001 11TH ST. SO., FARGO, ND 58103
(701) 356-0062
(701) 356-5412
Mailing address
3001 11TH ST. SO., FARGO, ND 58103
(701) 356-0062
(701) 356-5412
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
7845
MN
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1456348
—
ND
Enumeration date
11/16/2006
Last updated
05/03/2016
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