| NPI | 1356522833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCH D MOLEN Administrator 406-454-0438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2023-03-23 |