Ponderosa Pines Healthcare LLC

NPI #1376702886 in Billings, Montana

Provider Information

NPI Number
1376702886
Entity Type
Organization
Organization Name
Ponderosa Pines Healthcare LLC
Subpart
Yes (part of a larger organization)
Parent Organization
HEALTH MANAGEMENT SERVICES
Primary Specialty
Physical Therapist
Enumeration Date
Jun 9, 2008
Last Updated
Jun 9, 2008

Practice Location

Address
1341 ROSEBUD LN
State
Montana
ZIP Code
59101-6527
Phone
(406) 252-6135

Authorized Official

Name
KENT HANAWALT
Title
ADMINISTRATOR
Phone
(406) 252-6135

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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