TIMOTHY LEE ULLEDAHL

BISMARCK, ND
NPI1689953036
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ND  0900)
Enumeration Date2011-08-16
Last Update Date2011-08-16
Business Address
Mr. TIMOTHY LEE ULLEDAHL PTA
1833 EAST BISMARCK EXPRESSWAY
BISMARCK, ND 58554
Phone number: 701-323-5222
Mailing Address
Mr. TIMOTHY LEE ULLEDAHL PTA
1833 E BISMARCK EXPY
BISMARCK, ND 58504-6708
Phone number: 701-323-5222