Individual
AUGUST JAKOB QUERCIAGROSSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3745 HARRISON AVE, SUITE C, BUTTE, MT 59701-6808
(406) 494-7050
(406) 494-1424
Mailing address
PO BOX 11629, BOZEMAN, MT 59719-1629
(406) 522-7488
(406) 522-7487
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTP-PFTMP-12985
MT
Other
Enumeration date
07/19/2017
Last updated
07/19/2017
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