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Organization

NORTHERN LIGHTS PHYSICAL THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANDREA C JOHNSON PT (PHYSICAL THERAPIST)
(406) 761-3767
Entity
Organization

Contact information

Practice address
914 13TH AVE S, GREAT FALLS, MT 59405-4406
(406) 761-3767
(406) 761-3038
Mailing address
914 13TH AVE S, GREAT FALLS, MT 59405-4406
(406) 761-3767

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1171
MT

Other

Enumeration date
09/02/2009
Last updated
11/24/2009
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