Individual
BETH CHALSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1751 NEWTON DR, CHEYENNE, WY 82001-1649
(307) 286-3903
Mailing address
1751 NEWTON DR, CHEYENNE, WY 82001-1649
(307) 286-3903
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0007645
CO
Other
Enumeration date
12/22/2015
Last updated
06/20/2024
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