Individual
BRIAN MATTHEW CAMPOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
32 MARKET PLACE, BIG SKY, MT 59716
(406) 995-4522
Mailing address
3 BOYACK RD, CLIFTON PARK, NY 12065-7416
(518) 209-3649
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
13264
AZ
225100000X
Physical Therapist
62403
OR
225100000X
Physical Therapist
PTL.0015447
CO
225100000X
Physical Therapist
Primary
PTP-PT-LIC-14931
MT
Other
Enumeration date
05/25/2018
Last updated
05/25/2018
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