Individual
KRISTINA WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
2779 E 15TH ST UNIT 107, CASPER, WY 82609-4144
(720) 326-6338
Mailing address
PO BOX 81, MILLS, WY 82644-0081
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
0001155
CO
224Z00000X
Occupational Therapy Assistant
Primary
OTA-1687
WY
Other
Enumeration date
05/23/2019
Last updated
05/23/2023
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