Individual
STEPHANIE JANE HARRIS EWONIUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.O.T
Contact information
Practice address
416 W BLAIR AVE, ROCK SPRINGS, WY 82901-7113
(307) 352-3626
(307) 352-3628
Mailing address
PO BOX 932, THAYNE, WY 83127-0932
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-461
WY
Other
Enumeration date
11/07/2007
Last updated
11/07/2007
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