| NPI | 1821475807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEE JENSEN Administrative Billing Specialist 406-534-2087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MT 1066) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2024-01-26 |