Individual
BREANNA M RAMIREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1951 BLUEGRASS CIR, CHEYENNE, WY 82009-7355
(307) 773-8533
Mailing address
1951 BLUEGRASS CIR, CHEYENNE, WY 82009-7355
(307) 773-8533
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-1392
WY
Other
Enumeration date
02/18/2019
Last updated
02/18/2019
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