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Individual

SHIRLEY LEO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.O.T.A.

Contact information

Practice address
2900 12TH AVE N, #100E, BILLINGS, MT 59101-7506
(406) 238-6700
(406) 238-6734
Mailing address
975 KYHL LN, BILLINGS, MT 59105-4194
(406) 245-8267

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
408
MT

Other

Enumeration date
06/20/2006
Last updated
07/08/2007
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