OrganizationActive
Occupational Therapy Services
NPI 1255797007 · Rehabilitation Clinic/Center · Evanston, WY
Provider details
- NPI number
- 1255797007
- Entity type
- Organization
- Primary specialty
- Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Carol Davis, Occupational Therapist(307) 677-0669
- License
- OTR-509 (WY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
612 Country Club Dr
Evanston, WY 82930-3252
Phone: (307) 677-0669
Approximate (ZIP-level) locationGet directions
Mailing address
612 Country Club Dr
Evanston, WY 82930-3252
Registry dates
- Enumerated
- 2016-01-09
- Last updated
- 2016-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.