Theresa Roseanne Anthony COTA/L

NPI 1093078032 - Specialist - 174400000X

NPI Details
NPI 1093078032
Gender Female
Enumeration Date 06/22/2012
Last Updated 06/22/2012
Entity Type Individual
Active Over 5 years ago
Practice Location
6570 S SPRINGS DR
CASPER WY, 82604-5496, US
Phone (307) 267-8978
Fax
Business Location
6570 S SPRINGS DR
CASPER WY, 82604-5496, US
Phone (307) 267-8978
Fax
Toxanomy
Taxonomy Code 174400000X
License State Wyoming
License Number 250098
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According to our database, Mrs. Theresa Roseanne Anthony COTA/L NPI is 1093078032, taxonomy code is 174400000X and license number is 250098, license state is located at Wyoming. Theresa Roseanne Anthony COTA/L physically located at 6570 S Springs Dr, Casper WY, 82604-5496. NPI Number Theresa Roseanne Anthony COTA/L has the Individual type.

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1093078032 NPI number is provided on an as is basis without warranty of any kind. 1093078032 is maintained by the National Plan & Provider Enumeration System. The contents of Theresa Roseanne Anthony COTA/L are for informational purposes only.