Individual
MRS. CAROL FRANCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9 14TH AVE W, POLSON, MT 59860-5321
(406) 883-4378
(406) 883-0039
Mailing address
893 E 3200 N, PRESTON, ID 83263
(208) 705-8263
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
7585727-2402
UT
225200000X
Physical Therapy Assistant
Primary
PTA-2257
ID
Other
Enumeration date
08/08/2011
Last updated
08/08/2011
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