Individual
KELLY KAY TAUBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,OTR/L
Contact information
Practice address
4340 S OAK ST, CASPER, WY 82601-6017
(307) 235-9060
Mailing address
4340 S OAK ST, CASPER, WY 82601-6017
(307) 235-9060
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
WY-039
WY
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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