Individual
TANIA STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
9 14TH AVE W, POLSON, MT 59860-5321
(406) 883-4378
(406) 883-0039
Mailing address
9 14TH AVE W, POLSON, MT 59860-5321
(406) 883-4378
(406) 883-0039
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
785
MT
Other
Enumeration date
05/01/2008
Last updated
05/01/2008
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