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Individual

GARETH LOOSLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
205 SUNNYVIEW LN, KALISPELL, MT 59901-3120
(406) 751-4100
Mailing address
11 MILL AVE, WHITEFISH, MT 59937-2524
(801) 750-9387

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTP-OT-LIC-6547
MT

Other

Enumeration date
04/13/2015
Last updated
11/27/2023
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