Jenna Rae Dalla Mura, PTA

NPI #1962773069 in Great Falls, Montana

Provider Information

NPI Number: 1962773069
Entity Type: Individual
Name: Jenna Rae Dalla Mura, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jan 20, 2012
Last Updated: Jan 20, 2012

Practice Location

Address: 2621 15TH AVE S
City: Great Falls
State: Montana
ZIP Code: 59405-5201
Phone: (406) 455-2252

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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