Individual
MELISSA F LAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1020 E 2ND ST, SUITE 201, CASPER, WY 82601-2946
(307) 577-8832
Mailing address
PO BOX 51088, CASPER, WY 82605-1088
(307) 577-8832
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR 764
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTR 764
WYOMING STATE LICENSE NUMBER
WY
Enumeration date
05/07/2014
Last updated
05/07/2014
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