NPI 1205604337

Tristan Charles Birkemeier, COTAL

Practitioner Occupational Therapy Assistant Laramie, WY

Practice location

Address: 503 S 18th St, Laramie, WY 82070-4303
Phone: (307) 742-3728
Mailing address: 1213 Fetterman Dr, Laramie, WY 82070-4642

Registered specialties (2)

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence COTA-1130 (WY)

Other Occupational Therapy Assistant providers in Wyoming →

Occupational Therapy Assistant

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 337173 (WY)

Registry record

NPI: 1205604337
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Dec 2023
Record last updated: 18 Dec 2023

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.