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1144543646
HALIE EWALD
MISSOULA, MT
NPI
1144543646
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MT 1077)
Enumeration Date
2010-03-11
Last Update Date
2010-03-11
Business Address
-- HALIE EWALD OTR/L
2651 SOUTH AVE W
MISSOULA, MT 59804-6405
Phone number: 406-728-9162
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Mailing Address
-- HALIE EWALD OTR/L
918 KERN STREET
MISSOULA, MT 59801
Phone number:
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