| NPI | 1235673708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN C BOERSMA Owner/President 406-522-7488 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2016-12-18 |
| Last Update Date | 2019-03-20 |