Organization
DANIEL A GULLOTTA PT
Active
Organization
DANIEL A GULLOTTA PT
Active
Other names
Polson Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL A GULLOTTA PT, MA (OWNER)
(406) 883-8101
Entity
Organization
Contact information
Practice address
211A MAIN ST, POLSON, MT 59860-2119
(406) 883-8101
(406) 883-8102
Mailing address
211A MAIN ST, POLSON, MT 59860-2119
(406) 883-8101
(406) 883-8102
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
741
MT
Other
Enumeration date
03/21/2011
Last updated
03/21/2011
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