Professional Rehabilitation Center

NPI #1326460528 in Fargo, North Dakota

Provider Information

NPI Number: 1326460528
Entity Type: Organization
Organization Name: Professional Rehabilitation Center
Primary Specialty: Physical Therapist
Enumeration Date: Jan 8, 2014
Last Updated: Jan 8, 2014

Practice Location

Address: 3105 BROADWAY N
Address 2: SUITE 7
City: Fargo
State: North Dakota
ZIP Code: 58102-1454
Phone: (701) 451-9417

Authorized Official

Name: TOM BAUMGARTNER
Title: OWNER/ PRESIDENT
Phone: (701) 451-9417

Specialties & Taxonomy Codes

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

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