| NPI | 1619305752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMEY KABISCH CFO 406-223-0478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MT otpotlic997) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MT ptpptlic1729) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2019-03-20 |