Individual
AMANDA RENEE MCCORRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2360 E PERSHING BLVD, CHEYENNE, WY 82001-5356
(307) 778-7550
Mailing address
2360 E PERSHING BLVD, CHEYENNE, WY 82001-5356
(307) 778-7550
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
1145
WY
224Z00000X
Occupational Therapy Assistant
Primary
1145
WY
Other
Enumeration date
01/16/2024
Last updated
01/19/2024
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