Individual
TERESA ADELE HAMBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
204 TETON AVE, BOZEMAN, MT 59718-6239
(406) 570-7923
(406) 570-7923
Mailing address
204 TETON AVE, BOZEMAN, MT 59718-6239
(406) 570-7923
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
13132
MT
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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