Individual
DR. CONNOR WILLIS TESKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3401 BOHNET BLVD N, FARGO, ND 58102-1248
(701) 429-3261
Mailing address
3401 BOHNET BLVD N, FARGO, ND 58102-1248
(701) 429-3261
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2303
ND
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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