Individual
JAMIE LYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4718 23RD AVE, MISSOULA, MT 59803-1163
(406) 728-9762
Mailing address
4718 23RD AVE, MISSOULA, MT 59803-1163
(406) 728-9762
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6071
MT
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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