Organization
PEDIATRIC POTENTIALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA LOUISE TAYLOR OCCUPATIONAL THERAPY (OCCUPATIONAL THERAPIST)
(406) 582-4182
Entity
Organization
Contact information
Practice address
1122 E MAIN ST STE 4, BOZEMAN, MT 59715-3888
(406) 582-4182
(406) 582-4148
Mailing address
519 E FRIDLEY ST, BOZEMAN, MT 59715-3717
(406) 582-4182
(406) 582-4148
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
863
MT
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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