| NPI | 1104335942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA RENEE MATSEN Owner/Slp 406-219-2114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 101Y00000X Counselor |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2024-11-04 |