Individual
RON LUDWIG ISACCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
3718 E LAKE DR, BUTTE, MT 59701-4314
(406) 494-7050
(406) 494-7050
Mailing address
PO BOX 493, BUTTE, MT 59703-0493
(406) 782-6607
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0559
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
349537
—
MT
01
—
661570
BC/BS OF MONTANA
MT
01
—
MSF1221385
STATE FUND PROVIDER
MT
Enumeration date
08/29/2006
Last updated
07/08/2007
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