Full Name | |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 205 Wagner Rd, Coram, Montana |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609919927 | NPI | - | NPPES |
0341952 | Medicaid | MT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 377 (Montana) | Primary |
Mailing Address | Practice Location Address |
---|---|
Po Box 130043, 205 Wagner Rd, Coram, MT 59913 Ph: (406) 261-2447 | 205 Wagner Rd, Coram, MT 59913 Ph: (406) 261-2447 |
Cindy Mary Marshall, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 205 Wagner Rd, Coram, MT 59913 Phone: 406-261-2447 |