Individual
GAYLE HERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
500 15TH AVE S, GREAT FALLS, MT 59405-4304
(406) 455-2967
Mailing address
1605 12TH AVE S, GREAT FALLS, MT 59405-4618
(406) 453-9254
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1330
MT
Other
Enumeration date
02/23/2010
Last updated
02/23/2010
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