| NPI | 1114358801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNALISA FISH Owner 406-624-9294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: MT 4333) |
| Enumeration Date | 2013-12-05 |
| Last Update Date | 2013-12-05 |