Individual
DANIELLE FONTENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4070 PLAZA DR STE 107, CASPER, WY 82604-4296
(307) 337-3204
Mailing address
4140 CENTENNIAL HILLS BLVD STE B, CASPER, WY 82609-3265
(307) 472-8871
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1630
WY
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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