Individual
JOSEPHINE GANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
708 BROADWATER AVE, BILLINGS, MT 59101-2710
(406) 259-1680
Mailing address
1970 PRYOR LN, BILLINGS, MT 59102-1627
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PTP-PT-LIC-19333
MT
Other
Enumeration date
08/17/2020
Last updated
04/12/2024
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