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General NPI Number Information
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NPI Number | 1669302048
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Entity Type | Organization
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Legal Business Name | MEADOWLARK OCUPATIONAL THERAPY LLC
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Dates
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Enumeration Date | 05/19/2026
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Last Update Date | 05/19/2026
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Provider Practice Location Address
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Address Line | 2001 W LAKEWAY RD STE E
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City | GILLETTE
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State | WY
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Zip | 82718-5774
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Country | US
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Telephone | 406-200-1887
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 313
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City | GILLETTE
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State | WY
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Zip | 82717-0313
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Country | US
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Telephone | 307-689-8567
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Fax | 406-258-0576
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Authorized Official
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Title or Position | OWNER / PROVIDER
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Name | ASHLEY ELIZABETH ROGERS
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Credential | OTD
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Telephone | 307-689-8567
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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