Individual
DR. DONNA B BERNHARDT BAINBRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
UNIVERSITY OF MONTANA, SKAGGS BUILDING, MISSOULA, MT 59812-0001
(406) 243-4006
(406) 243-4303
Mailing address
3480 SALISH TRL, STEVENSVILLE, MT 59870-6501
(406) 777-5861
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
585
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344981
—
MT
01
—
810489624
STATE FUND
MT
Enumeration date
05/20/2012
Last updated
09/25/2012
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