Individual
MR. RICH DANIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT MS
Contact information
Practice address
3031 S. RUSSELL, SUITE #5, MISSOULA, MT 59803
(406) 531-0043
Mailing address
2200 GREAT NORTHERN AVE APT M13, MISSOULA, MT 59808
(406) 531-0043
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1589
MT
Other
Enumeration date
05/09/2007
Last updated
06/23/2009
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