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Individual

MR. PAUL WILLIAM TEAGLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
4718 23RD AVE, SUITE 500, MISSOULA, MT 59803-1163
(406) 626-0400
(406) 626-0401
Mailing address
15431 SAVIK LN, FRENCHTOWN, MT 59834-9580
(406) 626-2493

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
678PT
MT

Other

Enumeration date
05/03/2007
Last updated
07/08/2007
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