Individual
WILMER PAUL DESHNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
240 SPRUCE ST, GRIDLEY, CA 95948-2216
(530) 846-9000
(530) 846-9027
Mailing address
5041 VICTOR CT, MISSOULA, MT 59803-9678
(406) 396-3240
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PTP--PT-LIC-1060
MT
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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