Individual
MRS. TERRY A O'HEARN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1623 S SPRUCE, CASPER, WY 82601
(307) 439-9856
Mailing address
1623 S SPRUCE, CASPER, WY 82601
(307) 439-9856
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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