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Individual

MR. SCOTT RICHARD JENKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTL

Contact information

Practice address
4718 23RD AVE, SUITE 500, MISSOULA, MT 59803-1163
(406) 626-0400
(406) 626-0401
Mailing address
2241 S 12TH ST W, MISSOULA, MT 59801-3244
(406) 549-0509

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
786
MT

Other

Enumeration date
05/03/2007
Last updated
07/08/2007
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