Kimberly Marie Broadway PT

NPI 1780803072 - Physical Therapist - 225100000X

NPI Details
NPI 1780803072
Gender Female
Enumeration Date 04/25/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
GRAND FORKS ND, 58201-4036, US
Phone (701) 780-5000
Business Location
PO BOX 6002
GRAND FORKS ND, 58206-6002, US
Phone (701) 780-5000
Taxonomy Code 225100000X
License State North Dakota
License Number 1341
Remove 1780803072 NPI Number

According to our database, Kimberly Marie Broadway PT NPI is 1780803072, taxonomy code is 225100000X and license number is 1341, license state is located at North Dakota. Kimberly Marie Broadway PT physically located at 1200 S Columbia Rd, Grand Forks ND, 58201-4036. NPI Number Kimberly Marie Broadway PT has the Individual type.

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1780803072 NPI number is provided on an as is basis without warranty of any kind. 1780803072 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly Marie Broadway PT are for informational purposes only.