Individual
MRS. DEBORAH DATTERI MCMILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
808 NORTH ST, CODY, WY 82414-8438
(307) 527-7060
(307) 587-2497
Mailing address
25 VISTA VIEW LN, CODY, WY 82414-9606
(307) 527-9965
(307) 527-9965
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR-364
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770688871
—
WY
Enumeration date
09/25/2007
Last updated
09/25/2007
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