Individual
MR. FLOYD DALE WILMES II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTRL
Contact information
Practice address
1625 CHAMBERLAIN RD, CASPER, WY 82604-2737
(307) 234-8049
Mailing address
1625 CHAMBERLAIN RD, CASPER, WY 82604-2737
(307) 234-8049
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OTR-130
WY
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
OTR-130
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112990200
—
WY
Enumeration date
12/15/2006
Last updated
11/12/2014
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