NPI | 1053798736 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMIE TERRY Physical Therapist 406-531-3019 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: MT PTP-PT-LIC-2353) |
Enumeration Date | 2015-05-01 |
Last Update Date | 2024-02-27 |