Individual
DESIREE VAN BLARICOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
435 S CRYSTAL ST, STE 400, BUTTE, MT 59701-1506
(406) 496-3456
(406) 496-3457
Mailing address
435 S CRYSTAL ST, STE 400, BUTTE, MT 59701-1506
(406) 496-3456
(406) 496-3457
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1821
MT
Other
Enumeration date
05/23/2005
Last updated
09/19/2007
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