Provider Demographics
NPI:1295246262
Name:OWENS, PETER JAMES (OTR/L)
Entity type:Individual
Prefix:MR
First Name:PETER
Middle Name:JAMES
Last Name:OWENS
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 160753
Mailing Address - Street 2:
Mailing Address - City:BIG SKY
Mailing Address - State:MT
Mailing Address - Zip Code:59716-0753
Mailing Address - Country:US
Mailing Address - Phone:406-539-5116
Mailing Address - Fax:
Practice Address - Street 1:2020 GILKERSON DR
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-2558
Practice Address - Country:US
Practice Address - Phone:406-587-2755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-18
Last Update Date:2017-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT5305225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist