Individual
MRS. GENAE ELISE HERBIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.O.T.R./L.
Contact information
Practice address
107 N WASHINGTON ST, CASPER, WY 82601-2736
(307) 315-6184
(307) 315-6185
Mailing address
PO BOX 1569, CASPER, WY 82602-1569
(307) 315-6184
(307) 315-6185
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR 683
WY
Other
Enumeration date
11/29/2007
Last updated
10/17/2011
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