IndividualActive
Ambruss Peters, COTA/L, CLT
NPI 1114189198 · Occupational Therapy Assistant · Riverton, WY
Provider details
- NPI number
- 1114189198
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L, CLT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 626 (WY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1002 Forest Dr
Riverton, WY 82501-2918
Phone: (307) 856-9471
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 392
Shoshoni, WY 82649-0392
Registry dates
- Enumerated
- 2008-06-30
- Last updated
- 2008-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.