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General NPI Number Information
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NPI Number | 1083155972
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Entity Type | Organization
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Legal Business Name | HAND THERAPY OF WYOMING LLC
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Dates
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Enumeration Date | 03/13/2017
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Last Update Date | 06/05/2024
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Provider Practice Location Address
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Address Line | 1211 S DOUGLAS HWY SUITE 100
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City | GILLETTE
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State | WY
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Zip | 82716-4949
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Country | US
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Telephone | 307-756-2013
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Fax |
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Provider Business Mailing Address
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Address Line | 1211 S DOUGLAS HWY SUITE 100
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City | GILLETTE
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State | WY
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Zip | 82716-4949
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Country | US
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Telephone | 307-756-2013
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRITTANY SIEFERT
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Credential | MOTR/L
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Telephone | 307-756-2013
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State | WY
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Taxonomy #4
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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