Individual
MS. SUSAN CARLENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
428 SAPPHIRE LN, STEVENSVILLE, MT 59870-6010
(406) 777-5564
Mailing address
428 SAPPHIRE LN, STEVENSVILLE, MT 59870-6010
(406) 777-5564
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
243
MT
Other
Enumeration date
03/05/2011
Last updated
03/05/2011
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