Individual
MRS. MERCY MARIE MENDOZA SIBALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1130 17TH AVE S, GREAT FALLS, MT 59405-4523
(406) 771-4500
Mailing address
1130 17TH AVE S, GREAT FALLS, MT 59405-4523
(406) 771-4500
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTP-OT-LIC-6191
MT
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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