Individual
JACOB CASEY STERNHAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSOTR/L
Contact information
Practice address
1130 17TH AVE S, GREAT FALLS, MT 59405-4523
(406) 771-4500
Mailing address
1637 S BLACK AVE, BOZEMAN, MT 59715-5701
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTP-OT-LIC-4675
MT
Other
Enumeration date
03/21/2019
Last updated
03/21/2019
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