Individual
MRS. ERICA RAYE SCHUPPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2110 OVERLAND AVE STE 120, BILLINGS, MT 59102-6440
(406) 969-1795
(406) 969-1796
Mailing address
2110 OVERLAND AVE STE 120, BILLINGS, MT 59102-6440
(406) 690-3789
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
897
MT
225XP0200X
Pediatric Occupational Therapist
897
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81-0534155
SCOTTISH RITE LANGUAGE CL
MT
Enumeration date
12/14/2006
Last updated
05/10/2021
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