MARY DOLORES MANCILLAS-LOVELESS

GREAT FALLS, MT
NPI1952683542
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MT  1096)
Additional Taxonomies225700000X Massage Therapist
(Licence: MT  568)
Enumeration Date2011-09-09
Last Update Date2011-09-09
Business Address
MARY DOLORES MANCILLAS-LOVELESS PTA, LMT, C.PED
612 1ST AVE. SO.
GREAT FALLS, MT 59401
Phone number: 406-750-2655
Mailing Address
MARY DOLORES MANCILLAS-LOVELESS PTA, LMT, C.PED
3026 4TH AVENUE SOUTH
GREAT FALLS, MT 59405-3330
Phone number: 406-750-2655