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Individual

KATHRYN M HEERMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.T.

Contact information

Practice address
80 FOUR MILE DR STE 14B, KALISPELL, MT 59901-2665
(406) 252-6658
Mailing address
185 MANNINGTON ST, KALISPELL, MT 59901-8842
(406) 261-3278
(406) 316-5893

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
5498
MT
225XP0200X
Pediatric Occupational Therapist
Primary
5498
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200005323
MT
Enumeration date
01/25/2007
Last updated
05/13/2024
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