IndividualActive
Jeanette Kornick, COTA/L
NPI 1699932053 · Occupational Therapy Assistant · Great Falls, MT
Provider details
- NPI number
- 1699932053
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- Yes
- License
- 258 (MT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
80 Dune Hill Ln
Great Falls, MT 59404-6439
Phone: (406) 727-4635
Approximate (ZIP-level) locationGet directions
Mailing address
80 Dune Hill Ln
Great Falls, MT 59404-6439
Registry dates
- Enumerated
- 2008-05-21
- Last updated
- 2012-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.