Organization
LYMPHEDEMA AND OCCUPATIONAL THERAPY SERVICE, INC
Active
Other names
Hand Therapy and Lymphedema Clinic, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANNE MARIE MIKLOS OTR (OTR)
(406) 752-0330
Entity
Organization
Contact information
Practice address
80 FOUR MILE DR STE 14A, KALISPELL, MT 59901-2665
(406) 752-0330
Mailing address
PO BOX 3033, KALISPELL, MT 59903
(406) 752-0330
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0349690
—
MT
01
—
DB3419
RAILROAD MEDICARE
MT
Enumeration date
07/02/2007
Last updated
12/21/2007
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