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JAN S KEITH, COTA

Active

JAN S KEITH, COTA is a Occupational Therapy Assistant healthcare provider located in FORT WASHAKIE, Wyoming. NPI 1417003161 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · FORT WASHAKIE, WY

Registration Details

NPI Number
1417003161
Provider Type
Individual
Gender
Female
NPI Issued
Jan 26, 2007 (19.5066637398 yrs)
Last Updated
Jul 8, 2007
License
216 (WY)

Practice Information

Address
90 ETHETE ROAD
FORT WASHAKIE, WY, 82514
Browse WY providers · Browse ZIP 82514
Phone
3073326516
Fax
3073329116
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in FORT WASHAKIE, WY

Name Credential NPI
DEANA LIN GUDMUNDSEN COTA/L 1588806855
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.