| NPI | 1699056580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA RAYE SCHUPPE Occupational Therapist 406-652-3730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: MT 897) |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2011-09-06 |