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Organization

BIGFORK PHYSICAL THERAPY & SPORTS REHABILITATION INC

Active
Other names
Michael J. Close, RPT
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL JON CLOSE PHYSICAL THERAPIST (OWNER PHYSICAL THERAPIST)
(406) 837-6892
Entity
Organization

Contact information

Practice address
6400 MT HWY 35, BIGFORK, MT 59911
(406) 837-6892
(406) 837-6435
Mailing address
PO BOX 1527, BIGFORK, MT 59911-1527
(406) 837-6892
(406) 837-6435

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1350PT
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000345185
MT
01
61996
BLUE CROSS BLUE SHIELD
MT
Enumeration date
07/05/2005
Last updated
10/30/2007
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