Professional Rehabilitation Center INC

NPI #1215014105 in Fargo, North Dakota

Provider Information

NPI Number: 1215014105
Entity Type: Organization
Organization Name: Professional Rehabilitation Center INC
Subpart: Yes (part of a larger organization)
Parent Organization: PROFESSIONAL REHABILITATION CENTER, INC
Primary Specialty: Physical Therapist
Enumeration Date: Nov 1, 2006
Last Updated: Oct 29, 2019

Practice Location

Address: 4450 31ST AVE S STE 104
City: Fargo
State: North Dakota
ZIP Code: 58104-4557
Phone: (701) 451-9417

Authorized Official

Name: MS. TINA D FONDER
Title: OFFICE MANAGER
Phone: (701) 451-9417

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Physical Therapist	225100000X	Primary

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