STACEY KIMBALL GORTER

FARGO, ND
NPI1659843167
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: PA  PT025859)
Enumeration Date2018-12-21
Last Update Date2024-01-29
Business Address
Dr. STACEY KIMBALL GORTER DPT
2101 ELM ST N
FARGO, ND 58102-2417
Phone number: 701-239-3700
Mailing Address
Dr. STACEY KIMBALL GORTER DPT
933 FERNON ST
PHILADELPHIA, PA 19148-1105
Phone number: 717-303-9437
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