Individual
CORTNEE S GUNLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
107 6TH AVE SW, RONAN, MT 59864-2634
(406) 676-4441
(406) 676-0835
Mailing address
107 6TH AVE SW, RONAN, MT 59864-2634
(406) 676-4441
(406) 676-0835
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1800PT
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0229573
WASHINGTON STATE DEPT OF LABOR & INDUSTRY
MT
05
—
1841280419
—
MT
01
—
62088
BCBS OF MT PROVIDER #
MT
01
—
MSF1224957
MT STATE WORK COMP
MT
Enumeration date
10/25/2005
Last updated
09/26/2013
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