Individual
LESLIE MARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
51657 US HIGHWAY 93, POLSON, MT 59860-6903
(406) 883-6868
(406) 883-6868
Mailing address
51657 US HIGHWAY 93, POLSON, MT 59860-6903
(406) 883-6868
(406) 883-6868
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11231
MT
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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