Organization
UNIVERSITY OF MONTANA
Active
Parent organization
UNIVERSITY OF MONTANA
Other names
Neural Injury Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF MONTANA
Authorized official
DR. SAMBIT MOHAPATRA PH.D., PT (PHYSICAL THERAPIST)
(406) 243-2429
Entity
Organization
Contact information
Practice address
32 CAMPUS DR, SKAGGS BLDG., STE 115, MISSOULA, MT 59801-4494
(406) 243-4017
Mailing address
32 CAMPUS DR, SKAGGS BLDG., STE 135, MISSOULA, MT 59812-0004
(406) 243-5189
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
PTP-PT-LIC-507
MT
225100000X
Physical Therapist
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
293D00000X
Physiological Laboratory
—
—
Other
Enumeration date
02/04/2016
Last updated
01/17/2017
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