Individual
JOHNA DHUYVETTER
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
Mailing address
8100 SW NYBERG ST STE 200, TUALATIN, OR 97062-8437
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
12/14/2023
Last updated
12/14/2023
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