| NPI | 1962593889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY MICHAEL TRACY Owner 406-752-7581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MT 178) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2016-05-21 |