NPI | 1902022957 |
---|---|
Entity Type | Organization |
Authorized Contact | STUART T KUCHEL President 307-899-2337 |
Organization Subpart ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WY OTR-255) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MT 847) |
251C00000X Day Training, Developmentally Disabled Services (Licence: WY OTR-255) | |
Enumeration Date | 2007-04-18 |
Last Update Date | 2020-08-22 |