Otter Slide Pediatric Physical Therapy, LLC

NPI #1598502361 in Missoula, Montana

Provider Information

NPI Number
1598502361
Entity Type
Organization
Organization Name
Otter Slide Pediatric Physical Therapy, LLC
Primary Specialty
Physical Therapist
Enumeration Date
Jul 10, 2024
Last Updated
Nov 20, 2024

Practice Location

Address
135 FAIRWAY DR
State
Montana
ZIP Code
59803-2404
Phone
(406) 312-9967

Authorized Official

Name
KILEY S EVERSOLE, PT, DPT
Title
PHYSICAL THERAPIST
Phone
(406) 312-9967

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Physical TherapyPhysical Therapy
Physical Therapist

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