| NPI | 1396405874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY LYNN PARIS Physical Therapist 406-696-3090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics |
| Additional Taxonomies | 225XG0600X Occupational Therapist, Gerontology |
| Enumeration Date | 2021-12-23 |
| Last Update Date | 2023-08-17 |