Provider Demographics
NPI:1356189567
Name:CONNECT AND GROW OCCUPATIONAL THERAPY
Entity type:Organization
Organization Name:CONNECT AND GROW OCCUPATIONAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEAL
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HART
Authorized Official - Suffix:
Authorized Official - Credentials:MS, OTR/L
Authorized Official - Phone:907-441-5214
Mailing Address - Street 1:2047 N LAST CHANCE GULCH # 145
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-0744
Mailing Address - Country:US
Mailing Address - Phone:907-441-5214
Mailing Address - Fax:
Practice Address - Street 1:78 DUNBAR AVE
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59602-7700
Practice Address - Country:US
Practice Address - Phone:907-441-5214
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-20
Last Update Date:2024-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty