| NPI | 1801413745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK A GULICK Owner 406-407-7990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2023-03-01 |