Individual
AARON VAN WAGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
615 W MAIN ST, CUT BANK, MT 59427-2802
(406) 873-2024
Mailing address
1021 1ST ST SE, CUT BANK, MT 59427-3109
(702) 336-1951
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTP-PT-LIC-7729
MT
Other
Enumeration date
08/27/2016
Last updated
08/27/2016
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