Individual
MRS. DENA JOLEEN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
321 N 5TH AVE, BOZEMAN, MT 59715-3415
(406) 587-4404
Mailing address
250 HYALITE VIEW DR, BOZEMAN, MT 59718-7310
(406) 586-8844
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OTP-OT-LIC-4166
MT
Other
Enumeration date
03/08/2019
Last updated
03/08/2019
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