Individual
CARLY L VALENTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
612 E MAIN ST, SUITE C, BOZEMAN, MT 59715-3719
(406) 522-3722
(406) 522-0018
Mailing address
612 E MAIN STREET, SUITE C, BOZEMAN, MT 59715
(406) 522-3722
(406) 522-0018
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTP-OT-TMP-4406
MT
Other
Enumeration date
06/30/2016
Last updated
06/30/2016
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