Individual
MRS. LAURA J MCBAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
11 W MAIN ST, SUITE 218, BELGRADE, MT 59714-3700
(406) 388-4988
(406) 388-6188
Mailing address
1113 W PARK AVE, BELGRADE, MT 59714-3653
(406) 579-9666
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
931
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3402125
—
MT
01
—
662640
BCBS
MT
Enumeration date
05/08/2006
Last updated
07/08/2007
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