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1669805339
LISA T BRAYTON
BOZEMAN, MT
NPI
1669805339
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Former Name
LISA T WESTBROOK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MT PTP-PTA-LIC-4450)
Enumeration Date
2013-08-16
Last Update Date
2013-08-16
Business Address
-- LISA T BRAYTON PTA
1221 DURSTON RD
BOZEMAN, MT 59715-2725
Phone number: 406-582-3300
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Mailing Address
-- LISA T BRAYTON PTA
455 TRACY ANN DR
BELGRADE, MT 59714-7585
Phone number: 406-697-8554
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