| NPI | 1962752782 |
|---|---|
| Former Legal Business Name | RIDGELINE REHAB, PLLC |
| Entity Type | Organization |
| Authorized Contact | KEBRINA N VINGLAS CEO 406-600-4822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MT 2210PT) |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2012-09-19 |