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Individual

BRIAN ITOH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS OTR

Contact information

Practice address
1500 32ND ST S, GREAT FALLS, MT 59405-5300
(406) 761-4300
Mailing address
415 CENTRAL AVE APT 203, GREAT FALLS, MT 59401-3178
(406) 579-7508

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7636
MT

Other

Enumeration date
01/16/2023
Last updated
01/16/2023
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