Individual
ALICEA BURNAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
1597 AVENUE D, SUITE 4, BILLINGS, MT 59102-3010
(406) 690-6996
Mailing address
1597 AVENUE D STE 4, BILLINGS, MT 59102-3010
(406) 690-6996
(406) 206-5262
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTP-OT-LIC-4638
MT
Other
Enumeration date
03/06/2017
Last updated
06/07/2019
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