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Individual

ANA DUPOIS SOULIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
150 E SPRUCE ST, SUITE A, MISSOULA, MT 59802-4504
(406) 549-0064
(406) 543-2999
Mailing address
5000 BLUE MOUNTAIN RD, MISSOULA, MT 59804-9213
(406) 251-2323
(406) 251-2999

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5024
OR
225100000X
Physical Therapist
Primary
7545
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
845868008
BCBS
OR
Enumeration date
06/14/2007
Last updated
11/13/2014
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