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BETHANIE NICOLE FUNDERBURK DPT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1568973857

Individual Registrant:
 BETHANIE NICOLE FUNDERBURK DPT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
805 SUNSET BLVD  CONRAD, MT 59425-1717 US
Tel: 406-271-2222  Fax: --

Contact information for business:
805 SUNSET BLVD  CONRAD, MT 59425-1717 US
Tel: --  Fax: --

Registration Information:
NPI: 1568973857
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
MT13101

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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