Healthcare Provider Details
I. General information
NPI: 1457788127
Provider Name (Legal Business Name): INDEPENDENT OPPORTUNITIES,LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/26/2013
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
321 E E ST
CASPER WY
82601-1919
US
IV. Provider business mailing address
321 E E ST
CASPER WY
82601-1919
US
V. Phone/Fax
- Phone: 307-265-2014
- Fax:
- Phone: 307-265-2014
- Fax: 307-265-6696
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251C00000X |
| Taxonomy | Developmentally Disabled Services Day Training Agency |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 224Z00000X |
| Taxonomy | Occupational Therapy Assistant |
| License Number | COTA-837 |
| License Number State | WY |
VIII. Authorized Official
Name:
KARA
LYNN
MONPAS
Title or Position: OWNER
Credential:
Phone: 307-258-3242