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DEANA LIN GUDMUNDSEN, COTA/L

Active Sole Proprietor

DEANA LIN GUDMUNDSEN, COTA/L is a Occupational Therapy Assistant healthcare provider located in FORT WASHAKIE, Wyoming. NPI 1588806855 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · FORT WASHAKIE, WY

Registration Details

NPI Number
1588806855
Provider Type
Individual
Gender
Female
NPI Issued
Apr 1, 2009 (17.340003811022 yrs)
Last Updated
Apr 1, 2009
License
COTA 577 (WY)
Sole Proprietor
Yes

Practice Information

Address
4 NORTH FORK ROAD
FORT WASHAKIE, WY, 82514
Browse WY providers · Browse ZIP 82514
Phone
3073326902
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in FORT WASHAKIE, WY

Name Credential NPI
JAN S KEITH COTA 1417003161
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.