Individual
JILL DIANE KORDONOWY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
510 S 14TH ST, LIVINGSTON, MT 59047-3731
(406) 222-0672
(405) 222-1406
Mailing address
510 S 14TH ST, LIVINGSTON, MT 59047-3731
(406) 222-0672
(405) 222-1406
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
317
MT
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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