| NPI | 1295047371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL R SANDRY Director 406-273-3730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MT 1263MT) |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2010-10-08 |