JESSICA RAE FAHSHOLTZ

RIVERTON, WY
NPI1548091051
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: WY  OT-1811)
Enumeration Date2024-08-08
Last Update Date2024-08-08
Business Address
JESSICA RAE FAHSHOLTZ
1406 W MAIN ST
RIVERTON, WY 82501-3239
Phone number: 307-857-7074
Mailing Address
JESSICA RAE FAHSHOLTZ
1406 W MAIN ST
RIVERTON, WY 82501-3239
Phone number: 307-463-0462