Individual
SAMANTHA M WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
455 THELMA DR, CASPER, WY 82609-2324
(307) 472-3327
Mailing address
1714 WESTRIDGE WAY, CASPER, WY 82604-3307
(307) 215-6694
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1028
WY
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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