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Individual

SIDNEY J BURNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOTR/L

Contact information

Practice address
2020 E 12TH ST, CASPER, WY 82601-4007
(307) 235-5097
(307) 473-1440
Mailing address
2020 E 12TH ST, CASPER, WY 82601-4007

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT-1283
WY
225X00000X
Occupational Therapist
Primary
OTR-1283
WY

Other

Enumeration date
08/17/2017
Last updated
09/24/2019
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