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Individual

LARRY R PLANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1219 TULIP LANE, MISSOULA, MT 59802
(406) 728-8260
(406) 728-8260
Mailing address
1219 TULIP LN, MISSOULA, MT 59802-3048
(406) 240-2172
(406) 728-8260

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
571
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0346511
MT
Enumeration date
05/10/2006
Last updated
01/07/2008
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