| NPI | 1861863763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA BETH MARTIN Occupational Therapist 406-437-9658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: MT 3274) |
| Additional Taxonomies | 225XN1300X Occupational Therapist, Neurorehabilitation |
| Enumeration Date | 2015-10-18 |
| Last Update Date | 2019-08-05 |