Individual
KRYSTAL RING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
410 N MILLER AVE, GILLETTE, WY 82716-2929
(307) 682-0231
(307) 686-7628
Mailing address
410 N MILLER AVE, GILLETTE, WY 82716-2929
(307) 682-0231
(307) 686-7628
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR-624
WY
Other
Enumeration date
10/13/2010
Last updated
10/13/2010
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