| NPI | 1750600375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONDA WANGERIN Ower/Physical Therapist 406-846-3448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MT 100PT) |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2010-05-21 |