Individual
JEFFREY L MCMENAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
820 W MAIN ST, RIVERTON, WY 82501-3342
(307) 857-7074
(307) 856-6459
Mailing address
820 W MAIN ST, RIVERTON, WY 82501-3342
(307) 857-7074
(307) 856-6459
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR - 301
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121772100
—
WY
Enumeration date
07/12/2006
Last updated
02/07/2017
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