Individual
MRS. DEANNA M. HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
4718 23RD AVE, SUITE 500, MISSOULA, MT 59803-1163
(406) 626-0400
(406) 626-0401
Mailing address
PO BOX 460463, HUSON, MT 59846-0463
(406) 626-4218
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
872
MT
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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