TRENA PRIMAVERA

LARAMIE, WY
NPI1912151077
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: WY  OT625)
Enumeration Date2008-11-14
Last Update Date2008-11-14
Business Address
Ms. TRENA PRIMAVERA
503 S 18TH ST
LARAMIE, WY 82070-4303
Phone number: 307-742-3728
Mailing Address
Ms. TRENA PRIMAVERA
250 CARROLL AVE
CHEYENNE, WY 82009-4727
Phone number: 307-630-7368