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Organization
MONTANA REHABILITATION THERAPY
Active
Organization
MONTANA REHABILITATION THERAPY
Active
Other names
california hand therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN MCKAY BOTTEN (CFO)
(805) 604-1924
Entity
Organization
Contact information
Practice address
940 E MAIN ST, SANTA MARIA, CA 93454-5331
(805) 614-4879
(805) 614-6113
Mailing address
2001 SOLAR DR, SUITE 215, OXNARD, CA 93036-2645
(805) 604-1924
(805) 604-0176
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3863
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CT3946350
—
CA
01
—
ZZZ65055Z
BLUE SHIELD
CA
Enumeration date
02/09/2007
Last updated
08/22/2020
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