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NPI Code Detail

MEDICARE: ELKHORN HEALTH AND REHAB

MEDICARE: ELKHORN HEALTH AND REHAB
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224Z00000XOccupational Therapy Assistant1030MT

General Provider Information

NPI Number : 1063679561
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELKHORN HEALTH AND REHAB
Provider Business Mailing Address
First Line : 474 HIGHWAY 282
Second Line :
City : CLANCY
State : MT
Zip : 59634-9519
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 474 HIGHWAY 282
Second Line :
City : CLANCY
State : MT
Zip : 59634-9519
Country : US
Telephone Number : 406-933-8311
Fax Number :
Authorized Official
Title or Position : PHYSICAL THERAPIST
Name : DULCIE VOERMANS
Credential : PT
Telephone Number : 406-933-8311
Provider Enumeration Date : 05/21/2008
Last Update Date : 05/21/2008

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Directions to “ELKHORN HEALTH AND REHAB ” Practice Location

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