Individual
MRS. MA. AURORA DIAZ BREUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9 RIADA DR, LAUREL, MT 59044-9216
(406) 628-8990
Mailing address
9 RIADA DR, LAUREL, MT 59044-9216
(406) 628-8990
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
031008
NY
225100000X
Physical Therapist
2481
MT
Other
Enumeration date
05/03/2010
Last updated
10/17/2011
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