Individual
EMMY LOUANN O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1211 S DOUGLAS HWY STE 100, GILLETTE, WY 82716-4982
(307) 670-9191
Mailing address
1211 S DOUGLAS HWY STE 100, GILLETTE, WY 82716-4982
(307) 670-9191
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-1762LL
WY
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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