Individual
KAROL MAE SANTISTEVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3905 TEN MILE RD, CASPER, WY 82604-2894
(307) 267-7416
(949) 404-6346
Mailing address
5825 THIRTY THREE MILE RD, CASPER, WY 82604-9584
(307) 267-7416
(307) 473-7827
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-1381
WY
Other
Enumeration date
11/06/2018
Last updated
10/03/2023
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