| NPI | 1982226650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE SIMMONS ROBINSON Accounts Manager 406-257-0933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2020-05-19 |