Individual
MRS. JESSICA WILLMARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1221 DURSTON RD, BOZEMAN, MT 59715-2725
(406) 582-3300
Mailing address
487 W SHORE DR, BELGRADE, MT 59714-9573
(509) 780-2175
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTP-OTA-LIC-3323
MT
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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