Basic Information
Provider Information
NPI: 1033362868
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FOLEY
FirstName: DANA
MiddleName: MARIE
NamePrefix: MRS.
NameSuffix:  
Credential: OT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 35100
Address2:  
City: BILLINGS
State: MT
PostalCode: 591075100
CountryCode: US
TelephoneNumber: 4062382500
FaxNumber:  
Practice Location
Address1: 2825 8TH AVE N
Address2:  
City: BILLINGS
State: MT
PostalCode: 591010909
CountryCode: US
TelephoneNumber: 4062382500
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/24/2008
LastUpdateDate: 01/07/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225XP0019X1053MTY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation
225XP0019X102509MNN Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation
225XP0019X0702SDN Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation

No ID Information.


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