# OT HAVEN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BILLINGS OUTDOOR OT
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659198976
- **Authorized official:** ANDREA LEIGH DOUGHERTY OT (OWNER)
- **Authorized official phone:** (406) 534-9064

## Contact information

- **Practice address:** 483 S 44TH ST W APT 4110, BILLINGS, MT 59106-3974
- **Practice address phone:** (406) 534-9064
- **Mailing address:** 1302 24TH ST W, BILLINGS, MT 59102-3861
- **Mailing address phone:** (406) 534-9064

## Taxonomy

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

## Other

- **Enumeration date:** 09/26/2024
- **Last updated:** 09/26/2024