Christopher Lyle Crisman COTA/L

NPI 1104083534 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1104083534
Gender Male
Enumeration Date 05/22/2008
Last Updated 05/22/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1500 32ND ST S
GREAT FALLS MT, 59405-5300, US
Phone (406) 761-4300
Fax (406) 761-8882
Business Location
1500 32ND ST S
GREAT FALLS MT, 59405-5300, US
Phone (406) 761-4300
Fax (406) 761-8882
Toxanomy
Taxonomy Code 224Z00000X
License State Montana
License Number 697
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According to our database, Christopher Lyle Crisman COTA/L NPI is 1104083534, taxonomy code is 224Z00000X and license number is 697, license state is located at Montana. Christopher Lyle Crisman COTA/L physically located at 1500 32nd St S, Great Falls MT, 59405-5300. NPI Number Christopher Lyle Crisman COTA/L has the Individual type.

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1104083534 NPI number is provided on an as is basis without warranty of any kind. 1104083534 is maintained by the National Plan & Provider Enumeration System. The contents of Christopher Lyle Crisman COTA/L are for informational purposes only.