Individual
JESSICA KOTSCHWAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1977 DEWAR DR STE J, ROCK SPRINGS, WY 82901-5757
(307) 875-1788
Mailing address
1977 DEWAR DR STE J, ROCK SPRINGS, WY 82901-5757
(307) 875-1788
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
NE
225X00000X
Occupational Therapist
Primary
1509
WY
Other
Enumeration date
06/11/2018
Last updated
08/11/2020
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