is a Geriatrics in Bozeman, Montana. practices all healthcare services and medical treatments related to Geriatrics. The NPI Number for is 1235289133. The last update date is .
's current location address is 1707 Oak St, Bozeman, Montana. You can contact this provider via phone number 4065878446 and fax number 4065870898. The mailing address for is 1707 Oak St, Bozeman, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 1707 Oak St, Bozeman, Montana |
| Phone Number | 4065878446 |
| Fax Number | 4065870898 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1235289133 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 1707 Oak St |
|---|---|
| City | Bozeman |
| State | Montana (MT) |
| Post Code | 597152125 |
| Phone Number | 4065878446 |
| Fax Number | 4065870898 |
Provider's Primary Taxonomy Detail
| Speciality | Geriatrics |
|---|---|
| Taxonomy | 2251G0304X |
| Licence No | 2208MT |
|
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evid |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 222878657 | NJ | EMPLOYER IDENTIFICATION # |
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