SHANNON LEUKUMA

BIGFORK, MT
NPI1194197608
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MT  PTP-PTA-LIC-9406)
Enumeration Date2015-10-22
Last Update Date2015-10-22
Business Address
-- SHANNON LEUKUMA
1050 GRAND DR
BIGFORK, MT 59911-3563
Phone number: 406-837-5041
Mailing Address
-- SHANNON LEUKUMA
1050 GRAND DR
BIGFORK, MT 59911-3563
Phone number: 406-837-5041
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