Organization
GASTINEAU PHYSICAL THERAPY, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELE MAUREE GASTINEAU P.T. (PRESIDENT)
(406) 755-3991
Entity
Organization
Contact information
Practice address
770 W RESERVE DR, KALISPELL, MT 59901-2130
(406) 755-3991
(406) 755-3992
Mailing address
6970 FARM TO MARKET RD, WHITEFISH, MT 59937-8303
(406) 755-3991
(406) 755-3992
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1644PT
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0003400293
—
MT
Enumeration date
05/22/2007
Last updated
08/22/2020
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