Individual
DANIELLE PELAYO EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3128 BOXELDER DR, CHEYENNE, WY 82001-5808
(307) 634-7901
Mailing address
1202 W 28TH ST APT 2, CHEYENNE, WY 82001-2679
(719) 694-6524
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1235
WY
Other
Enumeration date
07/20/2017
Last updated
07/20/2017
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