Individual
MRS. KATRINA RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
625 E BROADWAY AVE, JACKSON, WY 83001-8642
(307) 739-7458
Mailing address
PO BOX 1287, JACKSON, WY 83001-1287
(631) 553-2846
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
1333
WY
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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