Jan S Keith, COTA
NPI #1417003161 in Fort Washakie, Wyoming
Provider Information
- NPI Number
- 1417003161
- Entity Type
- Individual
- Name
- Jan S Keith, COTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA
- Enumeration Date
- Jan 26, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 90 ETHETE ROAD
- City
- Fort Washakie
- State
- Wyoming
- ZIP Code
- 82514
- Phone
- (307) 332-6516
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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