Individual
CHEYENNE GILLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
235 S MAIN ST UNIT B, BUFFALO, WY 82834-1895
(307) 278-0256
(307) 278-0256
Mailing address
235 S MAIN ST UNIT B, BUFFALO, WY 82834-1895
(307) 278-0256
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-1545
WY
225X00000X
Occupational Therapist
OT-1545LL
WY
Other
Enumeration date
03/03/2021
Last updated
05/10/2021
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