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

TaxonomyCodeLicense
Specialist Primary 174400000X250098 (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.