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Search › Wyoming › Occupational Therapy Assistant

Jan Keith, COTA

NPI 1417003161 · on the registry since 2007

Practice

Address
90 Ethete Road
Fort Washakie, WY 82514
Phone
(307) 332-6516
Fax
(307) 332-9116
Organisation at this address
Early Intervention Program
Shoshone Tribe Early Intervention Program
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
Occupational Therapy Assistant
224Z00000X
Licence states on file
WY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming