Individual
SHERRY L VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2621 15TH AVE S, GREAT FALLS, MT 59405-5201
(406) 455-5902
Mailing address
2621 15TH AVE S, GREAT FALLS, MT 59405-5201
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1116
MT
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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