Individual
JESSE DUPRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1705 BOW ST, MISSOULA, MT 59801-5652
(406) 549-5283
(406) 549-5392
Mailing address
425 STEPHENS AVE APT E, MISSOULA, MT 59801-3876
(406) 431-5015
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTP-PT-LIC5936
MT
Other
Enumeration date
08/05/2013
Last updated
08/05/2013
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