Individual
MS. MARY MARTHA MCCARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA OTRL
Contact information
Practice address
350 W A ST, SUITE 205, CASPER, WY 82601-1860
(307) 237-4477
(307) 237-6672
Mailing address
404 E 13TH ST, CASPER, WY 82601-4345
(307) 259-2986
(307) 237-6672
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR 568
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
314156
BLUE CROSS PROVIDER NUMBE
WY
Enumeration date
02/14/2007
Last updated
07/09/2007
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