Individual
ALICE LAVERDIERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3335 LT MOSS RD, MISSOULA, MT 59804-7222
(406) 549-6413
(406) 542-0143
Mailing address
3335 LT MOSS RD, MISSOULA, MT 59804-7222
(406) 549-6413
(406) 542-0143
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
Primary
11243
MT
2251P0200X
Pediatric Physical Therapist
13006
CA
Other
Enumeration date
01/10/2007
Last updated
12/14/2022
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