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Jenna Rae Dalla Mura, PTA

Physical Therapy Assistant in Great Falls, MT. Individual provider (NPI-1).

NPI number1962773069
StatusActive
Last updated in NPPESJan 20, 2012

Details

NPI
1962773069
Entity type
Individual (NPI-1)
Name
Jenna Rae Dalla Mura
Credential
PTA
Sex
Female
Sole proprietor
No
Enumeration date
Jan 20, 2012
Last updated
Jan 20, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant2358MTYes

Practice location

2621 15th Ave S
Great Falls, MT 59405-5201

Phone 406-455-2252

Mailing address

2621 15th Ave S
Great Falls, MT 59405-5201

Phone 406-455-2252

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