NPI | 1801073929 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID A CALDWELL Owner Therapist 406-452-0001 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MT 621) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MT 223) |
Enumeration Date | 2008-01-31 |
Last Update Date | 2011-04-01 |