Individual
RUTH A TREMAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
542 16TH ST, RAWLINS, WY 82301-5241
(307) 324-2759
Mailing address
PO BOX 1216, GREEN RIVER, WY 82935-1216
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
COTA-587
WY
Other
Enumeration date
11/19/2010
Last updated
11/19/2010
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