Individual
DIANE RENEE SUMTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
875 BRIDGER DR STE J, BOZEMAN, MT 59715-2303
(406) 585-9113
Mailing address
1105 MOUNTAIN ASH AVE, BOZEMAN, MT 59718-7005
(406) 640-1608
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OPT-OT-LIC-1003
MT
Other
Enumeration date
05/07/2007
Last updated
03/10/2023
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