Individual
MRS. CARMEN MARIE SCHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3608 FIELDSTONE DR W, BOZEMAN, MT 59715-7134
(406) 581-6404
Mailing address
3608 FIELDSTONE DR W, BOZEMAN, MT 59715-7134
(406) 581-6404
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
392
MT
225XP0200X
Pediatric Occupational Therapist
4326-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005603710
DME
MT
05
—
0344896
—
MT
01
—
660300
BCBSMT
MT
Enumeration date
01/04/2007
Last updated
07/08/2007
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