Individual
SUSAN XANTHOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 GAMBLERS RUN, DILLON, MT 59725-8335
(406) 494-7035
Mailing address
300 GAMBLERS RUN, DILLON, MT 59725-8335
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
926
MT
Other
Enumeration date
03/14/2012
Last updated
03/14/2012
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