NPI | 1417408394 |
---|---|
Entity Type | Organization |
Authorized Contact | ALICE R CORTRIGHT Dept Dir 406-563-8528 |
Organization Subpart ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 225X00000X Occupational Therapist |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2016-10-17 |
Last Update Date | 2016-10-17 |