BLUE WATER THERAPY, LLC

FARGO, ND
NPI1245475797
Entity TypeOrganization
Authorized ContactGABRIEL THOMAS EVENSON
President
701-200-8181
Organization Subpart ?No
Primary Taxonomy261QR0400X Clinic/Center, Rehabilitation
(Licence: ND  995)
Enumeration Date2008-12-12
Last Update Date2008-12-12
Business Address
BLUE WATER THERAPY, LLC
3321 4TH AVE S STE D
FARGO, ND 58103-2235
Phone number: 701-200-8181
Mailing Address
BLUE WATER THERAPY, LLC
4425 47TH ST S
FARGO, ND 58104-4201
Phone number: 701-200-8181