Individual
MS. DIXIE SNOBL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
9 FAIRVIEW ST S, ANACONDA, MT 59711-1606
(406) 563-6925
Mailing address
9 FAIRVIEW ST S, ANACONDA, MT 59711-1606
(406) 563-6925
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
324
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3400799
—
MT
01
—
662290
BLUE CROSS BLUE SHIELD MT
MT
Enumeration date
12/14/2006
Last updated
07/08/2007
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