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Individual

MS. DANIELE GASTINEAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
770 W RESERVE DR, KALISPELL, MT 59901-2130
(406) 861-3472
(406) 862-5600
Mailing address
6970 FARM TO MARKET RD, WHITEFISH, MT 59937-8303
(406) 261-3472
(406) 862-5600

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1644PT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3400293
MT
01
61918
BLUE CROSS / BLUE SHIELD
MT
Enumeration date
12/19/2006
Last updated
10/02/2007
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