Organization
LOLO PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL R SANDRY P.T. (DIRECTOR)
(406) 273-3730
Entity
Organization
Contact information
Practice address
106 TYLER WAY, LOLO, MT 59847-9714
(406) 273-3730
(406) 273-9088
Mailing address
106 TYLER WAY, LOLO, MT 59847-9714
(406) 273-3730
(406) 273-9088
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1263MT
MT
Other
Enumeration date
07/06/2010
Last updated
10/08/2010
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