Organization
ASSOCIATES IN THERAPY FOR INFANTS AND CHILDREN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JO KRAHN PHD, OTR/L (OWNER/MANAGER)
(970) 420-2839
Entity
Organization
Contact information
Practice address
3718 PIONEER AVE, CHEYENNE, WY 82001-1246
(970) 420-2839
(970) 226-8520
Mailing address
PO BOX 20909, CHEYENNE, WY, WY 82003-7019
(970) 420-2839
(970) 226-8520
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115591100
—
WY
Enumeration date
05/14/2007
Last updated
10/08/2020
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