Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 1827 | MT |
NPI | 1003026956 |
---|---|
Provider Name | Christopher Chase Carr |
First Address | Great Falls, MT 59404-1626 |
Second Address | Great Falls, MT 59405-4324 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2007 |
Last Update Date | 08/07/2007 |