NPI 1114189198

Ambruss Peters, COTALCLT

Practitioner Occupational Therapy Assistant Riverton, WY

Practice location

Address: 1002 Forest Dr, Riverton, WY 82501-2918
Phone: (307) 856-9471
Mailing address: PO Box 392, Shoshoni, WY 82649-0392

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 626 (WY)

Other Occupational Therapy Assistant providers in Wyoming →

Registry record

NPI: 1114189198
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Jun 2008
Record last updated: 30 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.