| NPI | 1841304847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBEKAH JEAN STAMP Physical Therapist 406-363-7469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT 1493 PT) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2008-02-01 |