| Organization Name: | MONTANA REHABILITATION THERAPY |
| NPI Number: | 1013059518 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEVEN MCKAY BOTTEN (CFO) |
| Mailing Address: | 3525 Loma Vista Rd Suite D Ventura |
| State: | CA US |
| Postal Code: | 930033101 |
| Phone Number: | 8056481340 |
| Fax Number: | 8056486013 |
| NPI Enumeration Date: | 02/12/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XH1200X |
| License Number: | OT3863 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Hand |
| Taxonomy Definition: | |