Individual
CARLEY BOSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 N MONTANA AVE FL 2, HELENA, MT 59601-3515
(406) 449-3060
Mailing address
1200 N MONTANA AVE FL 2, HELENA, MT 59601-3515
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTP-PTA-LIC-6028
MT
Other
Enumeration date
07/15/2015
Last updated
06/19/2019
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