Individual
SUSAN D WILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
10 MOUNTAIN VIEW DR, EUREKA, MT 59917-9439
(406) 297-2541
Mailing address
PO BOX 531, EUREKA, MT 59917-0531
(406) 270-1166
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1115
MT
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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