Individual
LAURA ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
508 STOCKTRAIL AVE STE D, GILLETTE, WY 82716-3582
(307) 688-8000
Mailing address
1031 S GURLEY AVE APT D, GILLETTE, WY 82716-5051
(817) 863-3760
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-1402
WY
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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