Individual
BLAIR BLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2651 SOUTH AVE W, MISSOULA, MT 59804-6405
(406) 728-9162
(406) 543-8128
Mailing address
2651 SOUTH AVE W, MISSOULA, MT 59804-6405
(406) 728-9162
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1068
MT
Other
Enumeration date
03/10/2010
Last updated
03/10/2010
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