Organization
FUNCTIONAL PERFORMANCE THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD A BONIECKI OT/L (OT/OWNER)
(406) 214-2606
Entity
Organization
Contact information
Practice address
901 SW HIGGINS AVE, MISSOULA, MT 59803-3600
(406) 214-2606
(406) 551-7300
Mailing address
PO BOX 171, FLORENCE, MT 59833-0171
(406) 214-2606
(406) 551-7300
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
11/17/2008
Last updated
02/20/2025
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