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Individual

DR. MAC MOREAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
2651 SOUTH AVE W, MISSOULA, MT 59804-6405
(406) 728-9162
Mailing address
650 SOUTH AVE E, MISSOULA, MT 59801-7011
(406) 425-3641

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTP-PT-LIC-27350
MT

Other

Enumeration date
01/29/2024
Last updated
01/29/2024
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