Provider Demographics
NPI:1740882760
Name:WOHL, ALEX M
Entity type:Individual
Prefix:
First Name:ALEX
Middle Name:M
Last Name:WOHL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1326 6TH AVE S
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58103-2508
Mailing Address - Country:US
Mailing Address - Phone:701-340-9812
Mailing Address - Fax:
Practice Address - Street 1:102 W BEATON DR STE 105
Practice Address - Street 2:
Practice Address - City:WEST FARGO
Practice Address - State:ND
Practice Address - Zip Code:58078-2653
Practice Address - Country:US
Practice Address - Phone:701-205-4194
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-13
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist