Individual
CANDY JOANN VAN FRACHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1077 WHITEFISH STAGE, KALISPELL, MT 59901-2735
(406) 212-5792
Mailing address
1502 8TH AVE E, KALISPELL, MT 59901-5865
(406) 212-5792
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
6101
MT
225700000X
Massage Therapist
Primary
701
MT
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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