Individual
LISA EILEEN CECIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
953 WALNUT ST, SUITE A, WHEATLAND, WY 82201-2665
(307) 322-1878
(307) 322-1879
Mailing address
PO BOX 1790, DOUGLAS, WY 82633-1790
(307) 358-9464
(307) 358-9330
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-632
WY
Other
Enumeration date
08/04/2009
Last updated
08/04/2009
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