NPI | 1467470658 |
---|---|
Entity Type | Organization |
Authorized Contact | AMANDA CARNINE Owner 406-531-5918 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00009275) |
Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy |
Enumeration Date | 2006-07-17 |
Last Update Date | 2024-11-13 |