Individual
MRS. KELLY NICOLE DORNBIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
2020 E 12TH ST, CASPER, WY 82601-4007
(307) 235-5097
Mailing address
2020 E 12TH ST, CASPER, WY 82601-4007
(307) 235-5097
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
OTR-1017
WY
225XP0200X
Pediatric Occupational Therapist
Primary
OTR-1017
WY
Other
Enumeration date
03/10/2017
Last updated
03/10/2017
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