Zachary Porter Lasalle

NPI 1629384367 - Clinic/Center - 261QP2000X

NPI Details
NPI 1629384367
Enumeration Date 08/19/2010
Last Updated 11/22/2011
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name ZACHARY PORTER ZACHARY
Position PHYSICAL THERAPIST
Phone (406) 471-2022
Fax
Practice Location
734 9TH ST W STE 12
COLUMBIA FALLS MT, 59912-3858, US
Phone (406) 471-2022
Fax
Business Location
734 9TH ST W STE 12
COLUMBIA FALLS MT, 59912-3858, US
Phone (406) 471-2022
Fax
Toxanomy
Taxonomy Code 261QP2000X
License State Montana
License Number 1868PT
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According to our database, Zachary Porter Lasalle NPI is 1629384367, taxonomy code is 261QP2000X and license number is 1868PT, license state is located at Montana. Zachary Porter Lasalle physically located at 734 9th St W Ste 12, Columbia Falls MT, 59912-3858. NPI Number 1033115704 has the healthcare provider type.

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1629384367 NPI number is provided on an as is basis without warranty of any kind. 1629384367 is maintained by the National Plan & Provider Enumeration System. The contents of Zachary Porter Lasalle are for informational purposes only.