Individual
SAMANTHA BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1771 CENTENNIAL DR, LARAMIE, WY 82070-8403
(307) 742-3571
Mailing address
5025 QUARTER HORSE DR, LARAMIE, WY 82070-5322
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-1277
WY
Other
Enumeration date
09/14/2017
Last updated
09/14/2017
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