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Individual

FRED LERCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, CNIM

Contact information

Practice address
117 APPLE HOUSE LN, STE 501, MISSOULA, MT 59802-3324
(406) 241-3588
Mailing address
117 APPLE HOUSE LN, MISSOULA, MT 59802-3324

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
824
MT
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary

Other

Enumeration date
05/07/2012
Last updated
05/07/2012
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