| NPI | 1164697991 |
|---|---|
| Doing Business As | EASTER SEALS-GOODWILLL PEDIATRIC THERAPY SERVICES |
| Entity Type | Organization |
| Authorized Contact | MARK SHERMAN CFO 406-771-3762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2019-03-26 |