Desiree Van Blaricom PT

NPI 1033112073 - Physical Therapist - 225100000X

NPI Details
NPI 1033112073
Gender Female
Enumeration Date 05/23/2005
Last Updated 09/19/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
435 S CRYSTAL ST
STE 400
BUTTE MT, 59701-1506, US
Phone (406) 496-3456
Fax (406) 496-3457
Business Location
435 S CRYSTAL ST
STE 400
BUTTE MT, 59701-1506, US
Phone (406) 496-3456
Fax (406) 496-3457
Toxanomy
Taxonomy Code 225100000X
License State Montana
License Number 1821
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According to our database, Desiree Van Blaricom PT NPI is 1033112073, taxonomy code is 225100000X and license number is 1821, license state is located at Montana. Desiree Van Blaricom PT physically located at 435 S Crystal St, Butte MT, 59701-1506. NPI Number Desiree Van Blaricom PT has the Individual type.

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1033112073 NPI number is provided on an as is basis without warranty of any kind. 1033112073 is maintained by the National Plan & Provider Enumeration System. The contents of Desiree Van Blaricom PT are for informational purposes only.