Individual
DEBRA A GORMAN-BADAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
117 E 3RD ST, ANACONDA, MT 59711-2240
(406) 563-2420
(406) 563-2420
Mailing address
117 E 3RD ST, ANACONDA, MT 59711-2240
(406) 563-2420
(406) 563-2420
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
466
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
348595
—
MT
01
—
61765
BLUECROSSBLUESHIELD OF MT
MT
Enumeration date
03/04/2007
Last updated
07/08/2007
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