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General NPI Number Information
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NPI Number | 1073846549
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Entity Type | Organization
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Legal Business Name | SAGE HILL THERAPY SERVICES PC
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Dates
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Enumeration Date | 09/15/2009
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Last Update Date | 06/27/2024
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Provider Practice Location Address
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Address Line | 901 SW HIGGINS AVE
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City | MISSOULA
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State | MT
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Zip | 59803-3600
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Country | US
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Telephone | 406-360-2068
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Fax | 406-777-5621
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Provider Business Mailing Address
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Address Line | 15853 QUEEN ANNES LN
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City | FLORENCE
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State | MT
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Zip | 59833-5940
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Country | US
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Telephone | 406-360-2068
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Fax | 406-777-5621
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. CHRISTINE R GRADEN
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Credential | MS,OTR/L
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Telephone | 406-360-2068
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 944
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License Number State | MT
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