WILHELMINA LISA PRUGH

BOZEMAN, MT
NPI1598055345
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MT  2354PTA)
Enumeration Date2011-04-13
Last Update Date2011-04-13
Business Address
-- WILHELMINA LISA PRUGH
1221 DURSTON RD
BOZEMAN, MT 59715-2725
Phone number: 406-582-3300
Mailing Address
-- WILHELMINA LISA PRUGH
404 S 6TH AVE
BOZEMAN, MT 59715-4562
Phone number: