Individual
DR. CLARE JOJAMETTE ANTONIOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2965 STOCKYARD RD, MISSOULA, MT 59808-1557
(406) 541-2606
Mailing address
5907 LONGVIEW DR, MISSOULA, MT 59803-3340
(406) 214-8326
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT61000015
WA
225100000X
Physical Therapist
PTL.0016558
CO
225100000X
Physical Therapist
Primary
PTP-PT-LIC-17280
MT
Other
Enumeration date
12/02/2019
Last updated
12/18/2019
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