Individual
MS. TIFFANY L BADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1202 E JACKSON AVE, RIVERTON, WY 82501-3866
(307) 856-4337
Mailing address
1017 RILL CT, RIVERTON, WY 82501-3949
(307) 797-3395
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR-1151
WY
Other
Enumeration date
02/11/2009
Last updated
04/10/2017
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