Individual
MRS. EMILY BAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
185 SOUTH WILLOW ST, JACKSON, WY 83001
(307) 733-3791
(307) 733-9694
Mailing address
PO BOX 4180, JACKSON, WY 83001-4180
(307) 733-3791
(307) 733-9694
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
749
WY
Other
Enumeration date
03/30/2010
Last updated
03/30/2010
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