Individual
MADISON FAROUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2827 FORT MISSOULA RD, MISSOULA, MT 59804-7408
(406) 728-4100
Mailing address
801 RODGERS ST APT 5, MISSOULA, MT 59802-1756
(425) 877-9631
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTP-PT-PRV-32551
MT
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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