Individual
MARK HUESTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3131 AMHERST AVE, BUTTE, MT 59701-4653
(406) 494-7035
Mailing address
3131 AMHERST AVE, BUTTE, MT 59701-4653
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2124
MT
Other
Enumeration date
12/27/2012
Last updated
12/27/2012
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