| NPI | 1902976749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK A GULICK Owner 406-407-7990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 261Q00000X Clinic/Center | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2024-10-28 |