MRS. Theresa Roseanne Anthony, COTA/L

NPI #1093078032 in Casper, Wyoming

Provider Information

NPI Number: 1093078032
Entity Type: Individual
Name: MRS. Theresa Roseanne Anthony, COTA/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: COTA/L
Enumeration Date: Jun 22, 2012
Last Updated: Jun 22, 2012

Practice Location

Address: 6570 S SPRINGS DR
City: Casper
State: Wyoming
ZIP Code: 82604-5496
Phone: (307) 267-8978

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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