Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 562 | MT |
NPI | 1255525713 |
---|---|
Provider Name | William A Ownbey |
First Address | Lewistown, MT 59457-2261 |
Second Address | Lewistown, MT 59457-2261 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/08/2007 |
Last Update Date | 19/09/2007 |