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Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist

Provider NPI: 1841219706

Provider Information:
Gender: M
Not Sole Proprietor

Practice Location:
2675 CENTRAL AVE  BILLINGS, MT 59102-6686 US
Tel: 406-238-2500  Fax: --

Business Mailing Address:
PO BOX 35100  BILLINGS, MT 59107-5100 US
Tel: 406-238-2500  Fax: --

NPI Information:
NPI: 1841219706
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Y225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist

Other Provider Identifiers:

BCBS PIN000662160MT01
MDCD PIN119838600WY01

American Medical Association 2012 taxonomy code information

Code: 225X00000X





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