Individual
MR. ROBERT E WALDCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1707 OAK ST, D, BOZEMAN, MT 59715-2125
(406) 587-8446
(406) 587-0898
Mailing address
1707 OAK ST, D, BOZEMAN, MT 59715-2125
(406) 587-8446
(406) 587-0898
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
2208MT
MT
2251X0800X
Orthopedic Physical Therapist
Primary
2208MT
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
222878657
EMPLOYER IDENTIFICATION #
NJ
Enumeration date
01/11/2007
Last updated
05/01/2009
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