Individual
DILLON MICHAEL HENNESSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
36 DICK RD, GREAT FALLS, MT 59404-6420
(406) 750-1779
Mailing address
36 DICK RD, GREAT FALLS, MT 59404-6420
(406) 750-1779
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
10/30/2013
Last updated
10/30/2013
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