Individual provider · Type 1 NPI
Theresa Roseanne Anthony, COTA/L
Specialist · Casper, WY
NPI number
1093078032
Active
Practice location
6570 S Springs Dr
Casper, WY 82604-5496
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 250098 (WY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1093078032
Theresa Roseanne Anthony, COTA/L's National Provider Identifier is 1093078032, issued on Jun 22, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Casper, WY. The record was last updated on Jun 22, 2012.