NPI | 1376678037 |
---|---|
Entity Type | Organization |
Authorized Contact | NICOLE COLLEEN HECOCK President 406-285-0626 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MT 1278) |
Enumeration Date | 2007-02-22 |
Last Update Date | 2023-11-07 |