Individual
BEVERLY WALDEISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/C
Contact information
Practice address
601 ROBIN LN, LIVINGSTON, MT 59047-3810
(406) 222-7231
(406) 222-2435
Mailing address
504 S 13TH ST, LIVINGSTON, MT 59047-3727
(406) 222-3541
(406) 823-6287
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
181
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000345848
—
MT
01
—
660390
BLUE CROSS BLUE SHIELD
MT
Enumeration date
12/20/2006
Last updated
03/11/2014
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