NPI 1215014105
Professional Rehabilitation Center INC
Practice location
- Address
- 4450 31st Ave S STE 104, Fargo, ND 58104-4557
- Phone
- (701) 451-9417
- Fax
- (701) 298-0066
Authorised official
- Name
- Tina D Fonder
- Title
- Office Manager
- Phone
- (701) 451-9417
Registered specialties (2)
Physical Therapist
Primary
Occupational Therapist
Registry record
- NPI
- 1215014105
- Entity type
- Organization
- NPI issued
- 1 Nov 2006
- Record last updated
- 29 Oct 2019
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.