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Individual

MRS. JACKIE RENEE OLENIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
3101 SHERIDAN AVE, CODY, WY 82414-7736
(307) 587-4279
Mailing address
63 BOHICA RD, CODY, WY 82414-8491
(307) 899-3293

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
WY

Other

Enumeration date
08/22/2022
Last updated
08/22/2022
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