Individual
RENEE L. RAMBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.P.T.
Contact information
Practice address
63 MAIN ST., STEVENSVILLE, MT 59870
(406) 777-5411
Mailing address
113 DALLAS ST., LOLO, MT 59847
(406) 273-6195
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1736
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1736
PT LICENSE
MT
Enumeration date
06/01/2007
Last updated
07/08/2007
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