Individual
JACLYN CATHARINE CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2207 S 3RD ST W, MISSOULA, MT 59801-1334
(406) 549-5283
Mailing address
2207 S 3RD ST W, MISSOULA, MT 59801-1334
(406) 549-5283
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2309
MT
Other
Enumeration date
07/10/2010
Last updated
07/10/2010
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