Individual
MRS. KATHLEEN ZOE THACKERAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
408 WENDELL AVE, LEWISTOWN, MT 59457-2261
(406) 538-6378
Mailing address
408 WENDELL AVE, LEWISTOWN, MT 59457-2261
(406) 538-6378
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
354
MT
Other
Enumeration date
08/29/2007
Last updated
08/30/2007
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