| NPI | 1437986742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS LYNN WINDHAM Managing Member 406-253-9498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2024-10-21 |