Organization
EASTERSEALS-GOODWILL NORTHERN ROCKY MOUNTAIN, INC
Active
Other names
Easter Seals-Goodwilll Pediatric Therapy Services
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SHERMAN (CFO)
(406) 771-3762
Entity
Organization
Contact information
Practice address
1537 AVENUE D, SUITE 210, BILLINGS, MT 59102-3048
(406) 252-9600
Mailing address
425 1ST AVE N, GREAT FALLS, MT 59401-2507
(406) 761-3680
(406) 761-1390
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
04/23/2008
Last updated
03/26/2019
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