Individual
THOMAS BOGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
2755 COLONIAL DR, HELENA, MT 59601-4926
(406) 444-1129
Mailing address
4550 MONFORTON SCHOOL RD, BOZEMAN, MT 59718-9432
(406) 548-1586
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTP-OT-LIC-6233
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTP-OT-LIC-6233
OCCUPATIONAL THERAPY LICENSE
MT
Enumeration date
05/24/2019
Last updated
05/24/2019
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