Individual
KARI MARIAH JURGENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4780 WHITEFISH STAGE RD, WHITEFISH, MT 59937-8486
(406) 863-9204
Mailing address
4780 WHITEFISH STAGE RD, WHITEFISH, MT 59937-8486
(406) 863-9204
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
839
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0348755
—
MT
01
—
660960
OT BCBS NUMBER
MT
Enumeration date
01/29/2007
Last updated
07/09/2007
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