Individual
MISS MONTANA M HUNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
17475 DUGDALE DR, SOUTH BEND, IN 46635-1545
(574) 247-7500
Mailing address
888 INLAND DR, AVON, IN 46123-1209
(317) 361-6227
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32003014A
IN
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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