| NPI | 1063711778 |
|---|---|
| Other Name | POLSON PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | DANIEL A GULLOTTA Owner 406-883-8101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT 741) |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2011-03-21 |