Individual
MARK MINCINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4606 N COLLEGE DR, CHEYENNE, WY 82009-5456
(307) 414-8394
Mailing address
19580 SCOUT LN, SAINT ONGE, SD 57779-7913
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
633
CO
225X00000X
Occupational Therapist
Primary
—
WY
Other
Enumeration date
05/04/2016
Last updated
12/20/2024
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