Individual
DANIELLE AFFOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
408 WENDELL AVE, LEWISTOWN, MT 59457-2261
(406) 535-1548
Mailing address
408 WENDELL AVE, LEWISTOWN, MT 59457-2261
(406) 535-1548
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OPT-OTA-LIC-3278
MT
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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