Mr Grant Judah, PT | |
30 7th St W, Dickinson, ND 58601-4335 | |
(701) 456-4000 | |
(701) 456-4387 |
Full Name | Mr Grant Judah |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 30 7th St W, Dickinson, North Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528260536 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1434 (North Dakota) | Primary |
Provider Name | Sanford Bismarck |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1811941172 PECOS PAC ID: 9739098575 Enrollment ID: O20031105000403 |
Mailing Address | Practice Location Address |
---|---|
Mr Grant Judah, PT Po Box 829, 2584 6th Ave W, Dickinson, ND 58602-0829 Ph: (701) 220-4075 | Mr Grant Judah, PT 30 7th St W, Dickinson, ND 58601-4335 Ph: (701) 456-4000 |
Roberta Wock, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 30 7th St W, Dickinson, ND 58601 Phone: 701-456-4000 Fax: 701-456-4805 | |
Teresa Bleich, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 30 7th St W, Dickinson, ND 58601 Phone: 701-456-4000 Fax: 701-456-4805 | |
Hannah Lee Freiboth, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1462 I94 Business Loop E Unit 1, Dickinson, ND 58601 Phone: 701-872-6724 Fax: 701-353-2073 | |
Nicholl Jurgens-dinius, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1531 W Villard St Ste A, Dickinson, ND 58601 Phone: 701-225-7575 Fax: 701-225-9697 | |
Elite Pt Physical Therapist Medicare: Medicare Enrolled Practice Location: 1674 15th St W Ste 1, Dickinson, ND 58601 Phone: 701-260-2046 | |
Lexi Hauck, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 448 21st St W, Ste D1, Dickinson, ND 58601 Phone: 701-483-1000 | |
Mr. Shane Michael Weber, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1674 15th Street West, Suite #1, Dickinson, ND 58601 Phone: 701-483-8686 Fax: 701-483-8644 |