Southshore Physical Therapy Pllc

NPI #1134874654 in Hazen, North Dakota

Provider Information

NPI Number: 1134874654
Entity Type: Organization
Organization Name: Southshore Physical Therapy Pllc
Primary Specialty: Physical Therapist
Enumeration Date: Feb 14, 2022
Last Updated: Feb 14, 2022

Practice Location

Address: 104 12TH AVE NW UNIT 5
City: Hazen
State: North Dakota
ZIP Code: 58545-4106
Phone: (701) 891-2043

Authorized Official

Name: NICHOLAS MILLER, PT
Title: OWNER
Phone: (701) 891-2043

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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