Individual
STEVEN WALLACE FUGERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
600 WEST 21ST STR., RED LODGE, MT 59068
(406) 466-1112
(406) 446-0082
Mailing address
PO BOX 1611, RED LODGE, MT 59068-1611
(406) 446-2345
(406) 446-0082
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
975
MT
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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