Provider Demographics
NPI:1760685721
Name:SARGENT, CARA L (OTR)
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:L
Last Name:SARGENT
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 ASPEN LOOP
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-3306
Mailing Address - Country:US
Mailing Address - Phone:406-752-5611
Mailing Address - Fax:
Practice Address - Street 1:185 CRESTLINE AVE
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-3573
Practice Address - Country:US
Practice Address - Phone:406-752-9622
Practice Address - Fax:406-752-9602
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT866225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist