IndividualActive
Theresa Anthony, COTA/L
NPI 1093078032 · Specialist · Casper, WY
Provider details
- NPI number
- 1093078032
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- Yes
- License
- 250098 (WY)
Specialties & taxonomies
Other Service Providers
Practice location
6570 S Springs Dr
Casper, WY 82604-5496
Phone: (307) 267-8978
Approximate (ZIP-level) locationGet directions
Mailing address
6570 S Springs Dr
Casper, WY 82604-5496
Registry dates
- Enumerated
- 2012-06-22
- Last updated
- 2012-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.