Individual
NOLA IRENE LEVISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2170 TIPPERARY WAY, MISSOULA, MT 59808-9401
(406) 721-4846
Mailing address
2170 TIPPERARY WAY, MISSOULA, MT 59808-9401
(406) 721-4846
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
573
MT
Other
Enumeration date
12/21/2005
Last updated
07/09/2007
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