Desiree Van Blaricom, PT

NPI #1033112073 in Butte, Montana

Provider Information

NPI Number: 1033112073
Entity Type: Individual
Name: Desiree Van Blaricom, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: May 23, 2005
Last Updated: Sep 19, 2007

Practice Location

Address: 435 S CRYSTAL ST
Address 2: STE 400
City: Butte
State: Montana
ZIP Code: 59701-1506
Phone: (406) 496-3456

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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