Individual provider · Type 1 NPI

Molly Sundbom, PT, DPT

Pediatric Physical Therapist · Fargo, ND

NPI number 1104795483 Active

Practice location

2400 32nd Ave S
Fargo, ND 58103-5800

Mailing address

4420 Calico Dr S Apt 323
Fargo, ND 58104-5580

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200XNone listed

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1104795483

Molly Sundbom, PT, DPT's National Provider Identifier is 1104795483, issued on Nov 4, 2025. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Fargo, ND. The record was last updated on Nov 4, 2025.