Individual
AMBER FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
145 S DURBIN ST STE 105, CASPER, WY 82601-7031
(307) 389-9867
Mailing address
1406 CUSTER AVE, CASPER, WY 82604-3138
(307) 389-9867
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-1420
WY
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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