Organization
DEER LODGE VALLEY THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RONDA WANGERIN P.T. (OWER/PHYSICAL THERAPIST)
(406) 846-3448
Entity
Organization
Contact information
Practice address
310 MAIN ST, DEER LODGE, MT 59722-1000
(406) 846-3448
(406) 846-2298
Mailing address
310 MAIN ST, DEER LODGE, MT 59722-1000
(406) 846-3448
(406) 846-2298
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
100PT
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487716734
—
MT
Enumeration date
05/21/2010
Last updated
05/21/2010
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