Search › Wyoming › 225X00000X
Jan Jividen, OTR/L
NPI 1598958464 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1547 Custer Ave
Casper, WY 82604 - Phone
- (307) 277-1361
- Organisation at this address
- Grace House Ministry
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- WY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-08-23
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