Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 913 | MT |
N | 225XP0200X | Occupational Therapist - Pediatrics | 913 | MT |
NPI | 1013009703 |
---|---|
Provider Name | April Michelle Nolz |
First Address | Great Falls, MT 59403-2664 |
Second Address | Great Falls, MT 59405-3030 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2006 |
Last Update Date | 08/07/2007 |