Healthcare Provider Details

I. General information

NPI: 1295961415
Provider Name (Legal Business Name): LOU HEGWER OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2009
Last Update Date: 06/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 AVENUE B
BILLINGS MT
59101-0636
US

IV. Provider business mailing address

211 AVENUE B
BILLINGS MT
59101-0636
US

V. Phone/Fax

Practice location:
  • Phone: 406-248-9182
  • Fax:
Mailing address:
  • Phone: 406-248-9182
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number544
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: