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General NPI Number Information
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NPI Number | 1518892439
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Entity Type | Organization
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Legal Business Name | SWAN RIVER PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 06/13/2026
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Last Update Date | 06/13/2026
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Provider Practice Location Address
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Address Line | 1107 BOAT CLUB DR
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City | BIGFORK
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State | MT
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Zip | 59911-3128
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Country | US
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Telephone | 406-407-8799
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 942
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City | BIGFORK
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State | MT
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Zip | 59911-0942
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Country | US
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Telephone | 406-407-8799
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Fax |
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Authorized Official
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Title or Position | MEMBER/MANAGER
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Name | STARR EKO BROWN
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Credential | PT
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Telephone | 406-407-8799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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