Individual
TERESA WILLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
108 MURRAY RD, CHEYENNE, WY 82007-3515
(307) 638-0577
Mailing address
108 MURRAY RD, CHEYENNE, WY 82007-3515
(307) 638-0577
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
434
WY
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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