Individual
CANDICE MORROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1507 CONVERSE AVE, CHEYENNE, WY 82001-5301
(951) 317-8177
Mailing address
1507 CONVERSE AVE, CHEYENNE, WY 82001-5301
(951) 317-8177
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
1305
CA
224Z00000X
Occupational Therapy Assistant
Primary
OTA-1040
WY
Other
Enumeration date
12/05/2013
Last updated
12/05/2013
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