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Organization

MOSAIC INC

Active
Other names
MOSAIC Rehabilitation
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. HEIDI THOMAS DPT (PRESIDENT)
(406) 388-4988
Entity
Organization

Contact information

Practice address
11 W MAIN ST, SUITE 218, BELGRADE, MT 59714-3700
(406) 388-4988
(406) 388-6188
Mailing address
11 W MAIN ST, SUITE 218, BELGRADE, MT 59714-3700
(406) 388-4988
(406) 388-6188

Taxonomy

Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
9393
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1407171507
CLINIC NPI
MT
Enumeration date
09/10/2007
Last updated
04/13/2010
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