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NPI Code Detail

MEDICARE: ABBY LYNN HOLWEGNER OTRL

MEDICARE: ABBY LYNN HOLWEGNER OTRL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOT-808WY

General Provider Information

NPI Number : 1720216294
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABBY LYNN HOLWEGNER OTRL
Provider Business Mailing Address
First Line : 4140 CENTENNIAL HILLS BLVD STE B
Second Line :
City : CASPER
State : WY
Zip : 82609-3265
Country : US
Telephone Number : 307-265-7205
Fax Number : 307-235-6262
Provider Business Practice Location Address
First Line : 4070 PLAZA DR STE 107
Second Line :
City : CASPER
State : WY
Zip : 82604-4296
Country : US
Telephone Number : 307-265-7205
Fax Number : 307-235-6262
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2009
Last Update Date : 11/17/2023

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Directions to “ ABBY LYNN HOLWEGNER OTRL” Practice Location

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