| NPI | 1275198996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE LAVERDIERE Physical Therapist Owner 406-813-1150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2019-05-08 |