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Individual

ERICA DANIELLE GEORGES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
2008 APACHE ST, CHEYENNE, WY 82009-4934
(307) 286-1777
Mailing address
2008 APACHE ST, CHEYENNE, WY 82009-4934
(307) 286-1777

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
778
WY

Other

Enumeration date
08/20/2007
Last updated
11/29/2011
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