| NPI | 1922563436 |
|---|---|
| Doing Business As | UNG DPT FACULTY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | TOCARRA NELSON Credentialing Specialist 701-282-0081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2019-02-20 |