Individual
SAMANTHA ROSE GUNDERSON MORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2360 MULLAN RD STE C, MISSOULA, MT 59808-1811
(406) 542-4702
Mailing address
2360 MULLAN RD STE C, MISSOULA, MT 59808-1811
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTP-PT-LIC-15018
MT
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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