Individual
NICOLE E CADWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1020 E 2ND ST, STE. 100, CASPER, WY 82601-2946
(307) 265-4343
Mailing address
1020 E 2ND ST, STE. 100, CASPER, WY 82601-2946
(307) 265-4343
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 661
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT 661
STATE LICENSE
WY
Enumeration date
10/17/2008
Last updated
03/14/2017
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