Individual
LAWRENCE J. INGVALSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1200 WESTWOOD DR, HAMILTON, MT 59840-2345
(406) 363-2211
Mailing address
1200 WESTWOOD DR, HAMILTON, MT 59840-2345
(406) 363-2211
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTP-PTA-LIC-9404
MT
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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