Individual
JENNA RAE DALLA MURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2621 15TH AVE S, GREAT FALLS, MT 59405-5201
(406) 455-2252
Mailing address
2621 15TH AVE S, GREAT FALLS, MT 59405-5201
(406) 455-2252
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2358
MT
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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