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Individual

NANCY JEAN ASTRUP

Active
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Individual

NANCY JEAN ASTRUP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000062040
BCBS MT
MT
05
0343083
MT
01
M000005869
MEDICARE
MT
01
P00133459
RAILROAD MEDICARE
MT
Enumeration date
07/15/2006
Last updated
07/17/2009
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