Organization
ZACHARY PORTER LASALLE
Active
Organization
ZACHARY PORTER LASALLE
Active
Other names
LaSalle Physical Therapy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ZACHARY PORTER LASALLE PT (PHYSICAL THERAPIST)
(406) 471-2022
Entity
Organization
Contact information
Practice address
734 9TH ST W STE 12, COLUMBIA FALLS, MT 59912-3858
(406) 471-2022
Mailing address
734 9TH ST W STE 12, COLUMBIA FALLS, MT 59912-3858
(406) 471-2022
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1868PT
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M011000799
PTAN
MT
Enumeration date
08/19/2010
Last updated
11/22/2011
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