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1841413978
ZACHARY PORTER LASALLE
COLUMBIA FALLS, MT
NPI
1841413978
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MT PT1868)
Enumeration Date
2007-04-10
Last Update Date
2011-11-08
Business Address
-- ZACHARY PORTER LASALLE PT
734 9TH ST W STE 12
COLUMBIA FALLS, MT 59912-3858
Phone number: 406-471-2022
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Mailing Address
-- ZACHARY PORTER LASALLE PT
126 EMPIRE LOOP
KALISPELL, MT 59901-2523
Phone number: 406-471-2022
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