Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 3910 | MT |
Y | 225XP0200X | Occupational Therapist - Pediatrics | 3910 | MT |
NPI | 1063820827 |
---|---|
Provider Name | Alyssa M Toth |
First Address | Columbia Falls, MT 59912-3855 |
Second Address | Kalispell, MT 59901-3100 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2014 |
Last Update Date | 31/01/2022 |