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Individual

MS. KATHERINE LYNN HOLDER

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
2546 E 2ND ST, BLDG 500, CASPER, WY 82609-2047
(307) 577-5204
(307) 577-5212
Mailing address
2546 E 2ND ST, BLDG 500, CASPER, WY 82609-2047
(307) 577-5204
(307) 577-5212

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
COTA-534
WY
224Z00000X
Occupational Therapy Assistant
COTA-589
WY
225100000X
Physical Therapist
PT-891
WY
225200000X
Physical Therapy Assistant
PTA-490
WY
225X00000X
Occupational Therapist
OT-031
WY
225X00000X
Occupational Therapist
OTR-452
WY
235Z00000X
Speech-Language Pathologist
Primary
SP-169
WY
235Z00000X
Speech-Language Pathologist
SP-395
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00693001
BLUE CROSS BLUE SHIELD
WY
Enumeration date
06/28/2005
Last updated
09/11/2025
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