Individual
REBECCA DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2360 E PERSHING BLVD, CHEYENNE, WY 82001-5356
(970) 836-4251
Mailing address
1013 MORGAN ST, FORT COLLINS, CO 80524-3856
(269) 760-1541
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0003749
CO
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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