Individual
DANIELLE GRACE HALSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
1103 E BOXELDER RD, GILLETTE, WY 82718-5582
(307) 686-8177
Mailing address
506 FAIRWAY DR, GILLETTE, WY 82718-7602
(701) 391-1613
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0007536
CO
225X00000X
Occupational Therapist
Primary
OT-1701
WY
Other
Enumeration date
08/23/2022
Last updated
03/07/2023
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