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Individual

LISA RAE TRYAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
2800 10TH AVE N, BILLINGS, MT 59107
(406) 657-4880
Mailing address
2800 10TH AVE N, BILLINGS, MT 59107
(406) 657-4880

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
499
MT

Other

Enumeration date
04/10/2018
Last updated
04/10/2018
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