AUGUST JAKOB QUERCIAGROSSA

BUTTE, MT
NPI1598288847
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MT  PTP-PFTMP-12985)
Enumeration Date2017-07-19
Last Update Date2017-07-19
Business Address
AUGUST JAKOB QUERCIAGROSSA DPT
3745 HARRISON AVE SUITE C
BUTTE, MT 59701-6808
Phone number: 406-494-7050
Mailing Address
AUGUST JAKOB QUERCIAGROSSA DPT
PO BOX 11629
BOZEMAN, MT 59719-1629
Phone number: 406-522-7488