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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