NPIRadar

Laura Sophia Liedtka, OTR/L Valid NPI

Individual provider · Pediatric Occupational Therapist · Missoula, MT

NPI
1538453089
Type
Individual (Type 1)
Primary specialty
Pediatric Occupational Therapist (Occupational Therapist)
Specialty group
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy code
225XP0200X
License number
1127 (MT)
Sex
Female
Sole proprietor
Yes
Enumerated
2011-06-01
Last updated
2011-06-01
Practice location
1207 Mcdonald Ave Apt B
Missoula, MT 59801-9109
(406) 370-7176

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