| NPI | 1427113224 |
|---|---|
| Former Legal Business Name | FRED DE LEPPER PHYSICAL THERAPY LLC |
| Entity Type | Organization |
| Authorized Contact | JUDYDEL PERRY Office Manager 406-257-8250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT 422) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2020-08-22 |