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Organization

FOUNDATION THERAPY SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELA RENEE MATSEN M.ED. (OWNER/SLP)
(406) 219-2114
Entity
Organization

Contact information

Practice address
301 EDELWEISS DR STE 7, BOZEMAN, MT 59718-3931
(406) 581-8440
Mailing address
301 EDELWEISS DR STE 7, BOZEMAN, MT 59718-3931
(406) 219-2114
(406) 219-2145

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
225100000X
Physical Therapist
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7245196
MT
Enumeration date
09/25/2017
Last updated
11/04/2024
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