| NPI | 1578796918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA C JOHNSON Physical Therapist 406-761-3767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT 1171) |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2009-11-24 |