Individual
NATHAN CLARK GUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A
Contact information
Practice address
4718 23RD AVE STE 500, MISSOULA, MT 59803-1133
(406) 728-9162
Mailing address
2651 SOUTH AVE W, MISSOULA, MT 59804-6405
(406) 728-9162
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7685
MT
Other
Enumeration date
09/22/2015
Last updated
09/22/2015
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