Individual
SHAYNA RAE CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
1211 S DOUGLAS HWY STE 100, GILLETTE, WY 82716-4982
(307) 670-9191
Mailing address
1211 S DOUGLAS HWY STE 100, GILLETTE, WY 82716-4982
(307) 670-9191
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR-1276
WY
Other
Enumeration date
08/22/2017
Last updated
07/21/2022
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