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NPI Code Detail

MEDICARE: BRITT ENGEL DPT

MEDICARE: BRITT ENGEL DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist073280IA

General Provider Information

NPI Number : 1356750061
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITT ENGEL DPT
Provider Business Mailing Address
First Line : 1000 TACOMA AVE
Second Line : SUITE 500
City : BISMARCK
State : ND
Zip : 58504-7036
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3921 LOCKPORT ST
Second Line :
City : BISMARCK
State : ND
Zip : 58503-5541
Country : US
Telephone Number : 701-751-3125
Fax Number : 701-751-3162
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2014
Last Update Date : 10/26/2017

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