Individual
MS. JACKIE RENEE THATCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.R.
Contact information
Practice address
4735 MAPLE WAY, CHEYENNE, WY 82009-5228
(307) 635-7605
Mailing address
4735 MAPLE WAY, CHEYENNE, WY 82009-5228
(888) 873-4221
(888) 543-2289
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR-040
WY
Other
Enumeration date
11/10/2010
Last updated
11/10/2010
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