Individual
DEIDRA COTTENOIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
311 THELMA DR, CASPER, WY 82609-2325
(307) 234-2662
(307) 234-8810
Mailing address
PO BOX 1790, DOUGLAS, WY 82633-1790
(307) 358-9464
(307) 358-9330
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1224
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225215635
—
WY
Enumeration date
01/28/2008
Last updated
06/24/2015
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