Individual
ISABELA M ORTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32 CAMPUS DR, MISSOULA, MT 59812-0003
(503) 919-1431
Mailing address
4000 MULLAN RD APT G236, MISSOULA, MT 59808-5180
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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