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Organization

PEDIATRIC THERAPY CLINIC

Active
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Organization

PEDIATRIC THERAPY CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TRACI SELL (OWNER)
(406) 259-1680
Entity
Organization

Contact information

Practice address
1610 POLY DR, BILLINGS, MT 59102-1724
(406) 259-1680
Mailing address
1610 POLY DR, BILLINGS, MT 59102-1724
(406) 259-1680

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1626203054
AUTISM CLINIC
MT
Enumeration date
05/24/2017
Last updated
07/21/2022
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