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Occupational Therapist
NPI: 1255666137IndividualAccepts Medicare
Specialties, Licenses & Credentials
Occupational TherapistPrimary
Occupational Therapist
Code: 225X00000X
OTR-763(WY)
CMS Specialties
PrimaryOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Education
OTHER
Class of 2008
Contact & Hours
- Address
- 820 W MAIN ST
RIVERTON, WY 82501 - Phone
- (307) 857-7074
Quick Facts
- NPI
- 1255666137
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 18
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