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Individual

KIERAH DAWN WONSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
503 S 18TH ST, LARAMIE, WY 82070-4303
(307) 742-3728
Mailing address
1810 S 10TH ST, APT. D, LARAMIE, WY 82070-4695
(307) 262-6143

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
COTA 737
WY

Other

Enumeration date
09/30/2009
Last updated
09/30/2009
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