Organization
COPPER CITY PHYSICAL THERAPY PC
Active
Organization
COPPER CITY PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE J. MCADAM P.T. (PHYSICAL THERAPIST)
(406) 299-2450
Entity
Organization
Contact information
Practice address
1826 HARRISON AVE, BUTTE, MT 59701-5406
(406) 299-2450
(406) 299-3117
Mailing address
1826 HARRISON AVE, BUTTE, MT 59701-5406
(406) 299-2450
(406) 299-3117
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PTP-PT-LIC-1675
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972908945
—
MT
Enumeration date
11/03/2014
Last updated
05/05/2023
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