Individual
TESSA CAROLEEN GRAVANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3031 S RUSSELL ST STE B, MISSOULA, MT 59801-8523
(406) 396-4130
Mailing address
3031 S RUSSELL ST STE B, MISSOULA, MT 59801-8523
(406) 396-4130
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
08064
MD
225X00000X
Occupational Therapist
Primary
OTP-OT-LIC-7786
MT
Other
Enumeration date
01/03/2018
Last updated
01/21/2026
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