NPI 1861853269

Jolene C Wallace, COMS

Practitioner Orientation and Mobility Training Rehabilitation Counselor Missoula, MT

Practice location

Address: 110 Apple House Ln, Missoula, MT 59802-3324
Phone: (406) 360-9480
Fax: (406) 549-3581

Registered specialties

Orientation and Mobility Training Rehabilitation Counselor Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225CX0006X

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Registry record

NPI: 1861853269
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Mar 2016
Record last updated: 11 Mar 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.