IndividualActive
Anthony Charbonneau, PT, DPT
NPI 1417473448 · Orthopedic Physical Therapist · Fargo, ND
Provider details
- NPI number
- 1417473448
- Entity type
- Individual
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- No
- License
- 1963 (ND)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
736 Broadway N
Fargo, ND 58122
Phone: (701) 234-6735
Approximate (ZIP-level) locationGet directions
Mailing address
4740 Timber Pkwy S Apt 312
Fargo, ND 58104-4823
Registry dates
- Enumerated
- 2017-08-22
- Last updated
- 2019-06-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.