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NPI Profile for FRED LERCH in MISSOULA, MT.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Electroneurodiagnostic |
246ZE0600X | |||
Orthopedic |
2251X0800X | 65 | Physical Therapist in Private Practice |
| NPI Number | 1578822821 |
|
| Status | Active | |
| Credentials | PT, CNIM | |
| Entity | Individual | |
| Enumeration date | 05/07/2012 | |
| Last updated | 05/07/2012 - About 14 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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FRED LERCH
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FRED LERCH, PT, CNIM