Individual
MARCY LYNN KASSAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
1330 PRAIRIE AVE, CHEYENNE, WY 82009-4842
(307) 778-8997
Mailing address
4180 MEADOW RDG, BURNS, WY 82053-9554
(307) 547-3538
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
663
WY
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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