Mary Dolores Mancillas-Loveless, PTA, LMT, C.PED
NPI #1952683542 in Great Falls, Montana
Provider Information
- NPI Number
- 1952683542
- Entity Type
- Individual
- Name
- Mary Dolores Mancillas-Loveless, PTA, LMT, C.PED
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA, LMT, C.PED
- Enumeration Date
- Sep 9, 2011
- Last Updated
- Sep 9, 2011
Practice Location
- Address
- 612 1ST AVE. SO.
- City
- Great Falls
- State
- Montana
- ZIP Code
- 59401
- Phone
- (406) 750-2655
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
| Massage Therapist |
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