Individual
BRIANNA MICHELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
3031 S RUSSELL ST STE B, MISSOULA, MT 59801-8523
(406) 396-4130
Mailing address
3031 S RUSSELL ST STE B, MISSOULA, MT 59801-8523
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTP-OT-LIC-10654
MT
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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