Individual
MRS. PAMELA JEAN MARCELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
915 HIGHLAND BLVD, BOZEMAN, MT 59715-6902
(406) 585-1002
Mailing address
3045 LILY DR, BOZEMAN, MT 59718-6087
(406) 587-0025
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1104
MT
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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