Individual
BRIAN LEVON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1410 S RESERVE ST, MISSOULA, MT 59801-4758
(406) 829-9600
Mailing address
1402 DEFOE ST, MISSOULA, MT 59802-1920
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTP-PT-LIC-19497
MT
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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