Individual
MRS. REBECCA A GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT, LMT
Contact information
Practice address
779 KELLY RIDGE ROAD, VICTOR, MT 59875
(406) 381-1892
Mailing address
779 KELLY RIDGE ROAD, VICTOR, MT 59875
(406) 381-1892
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
689
MT
Other
Enumeration date
01/07/2011
Last updated
01/07/2011
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