Provider Demographics
NPI:1346407830
Name:ELKHORN HEALTH AND REHABILITATION
Entity Type:Organization
Organization Name:ELKHORN HEALTH AND REHABILITATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:DULCINEA
Authorized Official - Middle Name:A
Authorized Official - Last Name:VOERMANS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:406-933-8311
Mailing Address - Street 1:474 HIGHWAY 282
Mailing Address - Street 2:
Mailing Address - City:CLANCY
Mailing Address - State:MT
Mailing Address - Zip Code:59634-9519
Mailing Address - Country:US
Mailing Address - Phone:406-933-8311
Mailing Address - Fax:406-933-8391
Practice Address - Street 1:474 HIGHWAY 282
Practice Address - Street 2:
Practice Address - City:CLANCY
Practice Address - State:MT
Practice Address - Zip Code:59634-9519
Practice Address - Country:US
Practice Address - Phone:406-933-8311
Practice Address - Fax:406-933-8391
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTH MANAGEMENT SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-05-21
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1828225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty