Individual
DORENE ALLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 32ND ST S, GREAT FALLS, MT 59405-5300
(406) 761-4300
Mailing address
1500 32ND ST S, GREAT FALLS, MT 59405-5300
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
986
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
986
—
MT
Enumeration date
05/04/2007
Last updated
02/05/2020
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