Individual
REBECCA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
345 S LINDEN AVE, SHERIDAN, WY 82801-4709
(307) 672-6610
Mailing address
39 JACK DR, SHERIDAN, WY 82801-9552
(307) 674-9184
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
356
WY
Other
Enumeration date
03/10/2017
Last updated
03/10/2017
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