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Individual

SEAN WOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
COTA/L

Contact information

Practice address
205 N TRACY AVE, BOZEMAN, MT 59715-3564
(406) 587-2218
Mailing address
108 N PONDERA AVE, APT B, BOZEMAN, MT 59718-6327
(406) 218-1085

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTP-OTA-LIC-4024
MT

Other

Enumeration date
06/18/2016
Last updated
06/18/2016
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