Revive Therapy

NPI #1730711060 in Gillette, Wyoming

Provider Information

NPI Number: 1730711060
Entity Type: Organization
Organization Name: Revive Therapy
Primary Specialty: Occupational Therapist
Enumeration Date: Feb 5, 2020
Last Updated: Mar 29, 2022

Practice Location

Address: 51 TOWN CENTER DR STE 110
City: Gillette
State: Wyoming
ZIP Code: 82718-5521
Phone: (307) 622-1242

Authorized Official

Name: TRACI SMITH, OT
Title: OWNER
Phone: (307) 622-1242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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