Individual
JOHN LIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 WESTWOOD DR, HAMILTON, MT 59840-2312
(406) 375-4570
Mailing address
1200 WESTWOOD DR, HAMILTON, MT 59840-2312
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
668
MT
Other
Enumeration date
08/06/2008
Last updated
08/06/2008
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