| NPI | 1972908945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE J. MCADAM Physical Therapist 406-299-2450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MT PTP-PT-LIC-1675) |
| Enumeration Date | 2014-11-03 |
| Last Update Date | 2023-05-05 |