Whalio Doctors

NPI 1215014105

Professional Rehabilitation Center INC

Organisation Physical Therapist Fargo, ND

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
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X
Occupational Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X

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.