NPI 1003076613
Professional Rehabilitation Center INC
Practice location
- Address
- 4420 37th Ave S, Fargo, ND 58104-3400
- Phone
- (701) 451-9417
- Mailing address
- 1711 Gold Dr S Suite 120, Fargo, ND 58103-6416
Authorised official
- Name
- Lynden Kurtz
- Title
- Owner/President
- Phone
- (701) 451-9417
Registered specialties
Physical Therapist
Primary
Registry record
- NPI
- 1003076613
- Entity type
- Organization
- NPI issued
- 17 Jun 2008
- Record last updated
- 24 Jun 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.