Individual ProviderCharity Anne HarstadPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address911 West Interstate Avenue, Suite 12 Bldg 3, Bismarck, ND 58501(701) 223-8717PECOS EnrollmentBased on the most recent information from CMS, provider Charity Anne Harstad does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1295968220Provider TypeIndividualFull NameHarstad, Charity AnneCredentialPTGenderFemaleSole ProprietorNoEnumeration Date8/25/2009Last Updated1/20/2010Contact InformationPractice LocationPractice Address911 West Interstate Avenue, Suite 12 Bldg 3, Bismarck, ND 58501Phone(701) 223-8717Fax(701) 255-3957Mailing LocationMailing Address911 West Interstate Avenue, Suite 12 Bldg 3, Bismarck, ND 58501Phone(701) 223-8717Fax(701) 255-3957Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense1233North Dakota