Individual
MRS. MARCIA ANN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1025 SHOSHONI, CHILDRENS RESOURCE CENTER, THERMOPOLIS, WY 82443
(307) 864-9227
(307) 864-2296
Mailing address
116 JUDY LEE ST, THERMOPOLIS, WY 82443
(307) 864-3376
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR027
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770688871
—
WY
Enumeration date
08/22/2007
Last updated
08/22/2007
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