Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225700000X | Massage Therapist | 11687 | MT |
N | 225X00000X | Occupational Therapist | MT | |
N | 225X00000X | Occupational Therapist | 6993 | MT |
N | 225XM0800X | Mental Health | MT | |
N | 225XM0800X | Mental Health | 6992 | MT |
N | 225XP0200X | Occupational Therapist - Pediatrics | MT | |
Y | 225XP0200X | Occupational Therapist - Pediatrics | 6993 | MT |
NPI | 1174107007 |
---|---|
Provider Name | Ms. Dawn Crilly |
First Address | Billings, MT 59101-3614 |
Second Address | Billings, MT 59101-3614 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2021 |
Last Update Date | 06/05/2021 |