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Individual

MR. TIM J CORDIAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
701 W SPRUCE ST, MISSOULA, MT 59802-3904
(406) 721-8858
(406) 542-0960
Mailing address
PO BOX 9347, MISSOULA, MT 59807-9347
(406) 721-8858
(406) 542-0960

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
257
MT
2251X0800X
Orthopedic Physical Therapist
257
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000344097
MT
01
000061750
BLUE CROSS
MT
Enumeration date
02/20/2006
Last updated
01/16/2025
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