Individual
MISS CICILEY KAY BASSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
326 PARSLEY BLVD, CHEYENNE, WY 82007-1014
(307) 632-2991
Mailing address
5815 COLT CT, CHEYENNE, WY 82007-9737
(307) 921-8435
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1831
WY
Other
Enumeration date
01/08/2008
Last updated
02/07/2025
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