Individual
ALEISHA GORNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
110 MAIN ST, ANACONDA, MT 59711-2252
(406) 563-0797
(406) 563-0796
Mailing address
1109 W BROADWAY ST, BUTTE, MT 59701-8941
(406) 546-8438
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTP-PT-LIC-13025
MT
Other
Enumeration date
11/17/2019
Last updated
09/18/2020
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