| NPI | 1235560889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTOPHER ALLISON Member 307-699-7478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WY OTR-699) |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2013-12-09 |