Individual
MRS. DIANE SHIRLEY MORLEDGE HAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2520 17TH ST W, SUITE 103, BILLINGS, MT 59102-1738
(406) 294-1994
(406) 294-1996
Mailing address
2520 17TH ST W, SUITE 103, BILLINGS, MT 59102-1738
(406) 294-1994
(406) 294-1996
Taxonomy
Speciality
Code
Description
License number
State
225XL0004X
Low Vision Occupational Therapist
Primary
278
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
278
MONTANA STATE LICENSE
MT
Enumeration date
02/18/2009
Last updated
02/18/2009
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