Individual
MS. ANGIE MARIE KOLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3406 LARAMIE DR, BOZEMAN, MT 59718-2005
(406) 586-5694
Mailing address
1450 ELLIS ST STE 201, BOZEMAN, MT 59715-8813
(406) 587-0122
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1963PT
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006000510
BCBS PIN
MT
Enumeration date
08/25/2006
Last updated
10/20/2016
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