MICHAEL JON CLOSE

BIGFORK, MT
NPI1609932037
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MT  1350PT)
Enumeration Date2006-12-29
Last Update Date2007-10-30
Business Address
-- MICHAEL JON CLOSE RPT
850 HOLT DRIVE
BIGFORK, MT 59911
Phone number: 406-837-6892
Mailing Address
-- MICHAEL JON CLOSE RPT
PO BOX 1527
BIGFORK, MT 59911-1527
Phone number: 406-837-6892