| NPI | 1821118423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE MAE ROSA Owner/President, PT 406-723-4268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT 381) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2015-05-20 |