| NPI | 1023413234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA B ROBERTSON Owner 406-531-7366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MT PTP-PT-LIC-1986) |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2014-10-30 |