Individual
MICHELLE PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2525 COUGAR AVE, CODY, WY 82414-8444
(307) 527-7784
Mailing address
2525 COUGAR AVE, CODY, WY 82414-8444
(307) 527-7784
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
COTA-775
WY
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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