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Individual

DANIELLE LYNN AXE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
307 BENTON AVE, MISSOULA, MT 59801-8723
(406) 529-5634
Mailing address
307 BENTON AVE, MISSOULA, MT 59801-8723
(406) 529-5634

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTP-PT-LIC-21570
MT

Other

Enumeration date
08/09/2023
Last updated
08/09/2023
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