Individual
JERRY DEAN SORENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3815 KIKI DR, HELENA, MT 59602-7314
(406) 459-2076
Mailing address
3815 KIKI DR, HELENA, MT 59602-7314
(406) 459-2076
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT344
MT
Other
Enumeration date
09/21/2008
Last updated
09/21/2008
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