| NPI | 1386959575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK SHERMAN CFO 406-771-3762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2019-03-26 |