Organization
SAGE HILL THERAPY SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINE R GRADEN MS,OTR/L (PRESIDENT)
(406) 360-2068
Entity
Organization
Contact information
Practice address
901 SW HIGGINS AVE, MISSOULA, MT 59803-3600
(406) 360-2068
(406) 777-5621
Mailing address
15853 QUEEN ANNES LN, FLORENCE, MT 59833-5940
(406) 360-2068
(406) 777-5621
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
944
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3401836
—
MT
01
—
662570
MT BLUE CROSS BLUE SHIELD
MT
01
—
944
OT LICENSE
MT
Enumeration date
09/15/2009
Last updated
06/27/2024
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