Organization
ERICA SCHUPPE, DBA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA RAYE SCHUPPE OTR/L (OCCUPATIONAL THERAPIST)
(406) 652-3730
Entity
Organization
Contact information
Practice address
2500 GRAND AVE STE R, BILLINGS, MT 59102-7103
(406) 652-3720
Mailing address
2500 GRAND AVE STE R, BILLINGS, MT 59102-7103
(406) 652-3720
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
897
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197999
—
MT
Enumeration date
09/06/2011
Last updated
09/06/2011
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