Individual
DEANNA R REISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6631 E 2ND ST, CASPER, WY 82609-4355
(307) 268-9904
(307) 268-9907
Mailing address
6631 E 2ND ST, CASPER, WY 82609-4355
(307) 268-9904
(307) 268-9907
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
COTA 034
WY
Other
Enumeration date
03/27/2007
Last updated
12/07/2010
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