Individual
SANDRA NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2521 E 15TH ST, CASPER, WY 82609-4126
(307) 473-7144
(307) 472-2277
Mailing address
2185 MELODI LN, CASPER, WY 82601-9650
(307) 258-3248
(307) 472-2277
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
622
WY
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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