Individual
SIERRA OXFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
123 W 1ST ST, CASPER, WY 82601-2481
(307) 234-9360
Mailing address
PO BOX 1768, GLENROCK, WY 82637-1768
(307) 277-8104
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-1264
WY
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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