# CLARK FORK OCCUPATIONAL THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215758339
- **Authorized official:** SARAH MOORE OTD, OTR/L (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (406) 249-0302

## Contact information

- **Practice address:** 901 SW HIGGINS AVE, MISSOULA, MT 59803-3600
- **Practice address phone:** (406) 552-1480
- **Mailing address:** 2115 BURLINGTON AVE, MISSOULA, MT 59801-5254
- **Mailing address phone:** (406) 249-0302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 10/21/2024
- **Last updated:** 10/21/2024