NPI | 1265892442 |
---|---|
Former Legal Business Name | ERICA SCHUPPE OCCUPATIONAL THERAPIST PROFESSIONAL CORPORATION |
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 |