Individual
STACEY LOUTZENHISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2621 15TH AVE SOUTH, GREAT FALLS, MT 59405
(406) 456-5902
(408) 455-2474
Mailing address
2621 15TH AVE SOUTH, GREAT FALLS, MT 59405
(406) 456-5902
(408) 455-2474
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTP-OT-LLC6219
MT
Other
Enumeration date
01/24/2020
Last updated
01/24/2020
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