Individual
KAITLIN MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4132 DEVONSHIRE CT NE, SALEM, OR 97305-1982
(503) 364-5313
Mailing address
PO BOX 2183, GREAT FALLS, MT 59403-2183
(406) 868-2701
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
09497
OR
225200000X
Physical Therapy Assistant
PTP-PTA-LIC-11326
MT
Other
Enumeration date
02/26/2017
Last updated
10/23/2019
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