Individual
MS. MARLA JEAN WONSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOT, OTR,L
Contact information
Practice address
3401 STAGECOACH DR, CASPER, WY 82604-5446
(307) 237-1561
(307) 268-3034
Mailing address
3401 STAGECOACH DR, CASPER, WY 82604-5446
(307) 237-1561
(307) 268-3034
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
250
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122217103
—
WY
Enumeration date
12/04/2006
Last updated
07/02/2012
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