Organization
MICHAEL HAMBLOCK
Active
Other names
SILVER BOW PHYSICAL THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE H HAMBLOCK PT (OWNER)
(406) 494-7050
Entity
Organization
Contact information
Practice address
3718 E LAKE DR, SUITE A, BUTTE, MT 59701-4314
(406) 494-7050
(406) 494-1424
Mailing address
3718 E LAKE DR, SUITE A, BUTTE, MT 59701-4314
(406) 494-7050
(406) 494-1424
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
374PT
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0346112
—
MT
01
—
CK8659
TRICARE
MT
01
—
MSF1190526
MONTANA STATE FUND
MT
Enumeration date
07/28/2005
Last updated
07/23/2007
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