Individual
LAUREN NICHOLE SHREADING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
3018 RATTLESNAKE DR, MISSOULA, MT 59802-6101
(805) 712-2171
Mailing address
3018 RATTLESNAKE DR, MISSOULA, MT 59802-6101
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTP-OT-LIC-6209
MT
Other
Enumeration date
02/12/2019
Last updated
02/12/2019
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