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Individual

KEELY E TATRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
820 W MAIN ST, RIVERTON, WY 82501-3342
(307) 857-7074
(307) 856-6459
Mailing address
820 W MAIN ST, RIVERTON, WY 82501-3342
(307) 857-7074
(307) 856-6459

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
115613
TX
225X00000X
Occupational Therapist
Primary
OTR 1245
WY

Other

Enumeration date
05/28/2015
Last updated
03/08/2017
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