Justin Cabrera

Individual provider Active NPI Occupational Therapist · Laurel, MT

NPI 1376177675 · NPPES record last updated Feb 25, 2020

Key facts

NPI
1376177675
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OTP-OT-LIC-6987 (MT)
Practice address
820 3Rd Ave
Laurel, MT 59044-2023
Phone
(406) 628-8251
NPI assigned
Feb 25, 2020
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OTP-OT-LIC-6987MTMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OTP-OT-LIC-6987 MT Yes

Addresses

Primary practice location

820 3Rd Ave
Laurel, MT 59044-2023

Mailing address

5327 Patagonia CT Apt 2
Billings, MT 59101-9228
Phone (406) 697-2770

Other providers in Laurel, MT

All providers in Laurel, MT · Occupational Therapist in Montana

Sources for this page

Verify at the official NPI Registry.