Individual
MICHAEL J NORTHCUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2163 CHANDLER ST, FORT COLLINS, CO 80528-7085
(970) 282-9181
Mailing address
3128 BOXELDER DR, CHEYENNE, WY 82001-5808
(307) 630-7901
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1049
WY
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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