Organization
GARNET THERAPIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEZIA PETERSON MOTR/L (OCCUPATIONAL THERAPISE)
(612) 978-6465
Entity
Organization
Contact information
Practice address
49775 GALLATIN RD, SUITE 103A, GALLATIN GATEWAY, MT 59730
(612) 978-6465
Mailing address
PO BOX 3024, BOZEMAN, MT 59772-3024
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
1133
MT
Other
Enumeration date
05/30/2017
Last updated
05/30/2017
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