Individual
IULIIA KHESTANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT
Contact information
Practice address
100 19TH ST, WHEATLAND, WY 82201-3162
(307) 322-7400
(307) 322-7435
Mailing address
100 19TH ST, WHEATLAND, WY 82201-3162
(307) 322-7400
(307) 322-7435
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1272
WY
Other
Enumeration date
09/11/2017
Last updated
07/21/2022
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