SAMANTHA LYNN MOON

CASPER, WY
NPI1831954833
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WY  OTA-1772)
Enumeration Date2024-02-19
Last Update Date2024-02-19
Business Address
SAMANTHA LYNN MOON
813 CY AVE
CASPER, WY 82601-4161
Phone number: 307-380-9333
Mailing Address
SAMANTHA LYNN MOON
813 CY AVE
CASPER, WY 82601-4161
Phone number: