Individual
MICHELLE VAN LEUVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1940 HARVE AVE # 2, MISSOULA, MT 59801-8332
(406) 542-0808
Mailing address
1940 HARVE AVE # 2, MISSOULA, MT 59801-8332
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTP-PT-LIC-4438
MT
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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