Individual
MRS. ANGELA DELORIS MART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
624 N GRAND AVE APT B, BOZEMAN, MT 59715-2850
(406) 600-2305
Mailing address
624 N GRAND AVE APT B, BOZEMAN, MT 59715-2850
(406) 600-2305
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2108PTA
MT
Other
Enumeration date
01/21/2008
Last updated
01/21/2008
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