Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225CX0006X | Orientation and Mobility Training Provider | ACVREP CERT # 21621 | MT |
NPI | 1376090605 |
---|---|
Provider Name | Melinda R. Schott |
First Address | Missoula, MT 59801-7949 |
Second Address | Missoula, MT 59801-7949 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2016 |
Last Update Date | 24/01/2019 |