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Individual

MELISSA HAIDLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1301 E BROADWAY ST, MISSOULA, MT 59802-4905
(406) 721-0680
Mailing address
1140 VILLAGE WAY, MISSOULA, MT 59802-2967

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3934
MT

Other

Enumeration date
09/22/2015
Last updated
12/15/2020
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