| NPI | 1265892442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA SCHUPPE Owner 406-690-3789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MT OTP-OT-LIC-4035) |
| Enumeration Date | 2016-03-01 |
| Last Update Date | 2024-04-21 |