| NPI | 1811539190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA J BANKS Insurance & Billing Coordinator 406-459-8163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2019-10-08 |