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Individual

MISS DAWN M NELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
1510 SAINT CHARLES ST, FORT BENTON, MT 59442
(406) 622-3684
(406) 622-5047
Mailing address
PO BOX 3, FORT BENTON, MT 59442-0003
(406) 622-3684

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1597PT
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3401870
MT
01
61488
BCBS
MT
Enumeration date
09/22/2006
Last updated
07/14/2023
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