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Individual

REBECCAH TYE MCMILLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
2827 FORT MISSOULA RD, MISSOULA, MT 59804-7408
(406) 327-4050
Mailing address
824 COTTONWOOD ST, MISSOULA, MT 59801-3825
(406) 543-6013

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1232
MT

Other

Enumeration date
04/16/2020
Last updated
04/16/2020
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