Individual
MALENA VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
400 VETERANS DR, COLUMBIA FALLS, MT 59912-5505
(406) 892-3256
(406) 892-0143
Mailing address
400 VETERANS DR, COLUMBIA FALLS, MT 59912-5505
(406) 892-3256
(406) 892-0143
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
11235
MT
Other
Enumeration date
04/13/2017
Last updated
04/13/2017
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