Individual
MOLLY FRETAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
1616 E PERSHING BLVD, CHEYENNE, WY 82001-3238
(952) 220-1669
Mailing address
2303 GOODNIGHT TRL, CHEYENNE, WY 82007-3786
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-1603
WY
Other
Enumeration date
07/11/2022
Last updated
11/15/2022
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