# RON LUDWIG ISACCO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1851400667
- **Gender:** Man
- **Credential:** OTR/L

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 0559 | MT | Yes |

## Other

- **Enumeration date:** 08/29/2006
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 349537 | — | MT |
| 01 | — | 661570 | BC/BS OF MONTANA | MT |
| 01 | — | MSF1221385 | STATE FUND PROVIDER | MT |