Individual
JILDA SENATORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
191 SOUTH FRANKLIN, PINEDALE, WY 82941
(307) 367-6306
Mailing address
PO BOX 45, PINEDALE, WY 82941-0045
(307) 367-6306
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
162
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
314005
BLUE CROSS BLUE SHIELD WY
WY
Enumeration date
12/08/2006
Last updated
07/08/2007
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