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Contact Information

DEANA L GUDMUNDSEN, COTA/L
4 NORTH FORK ROAD
FORT WASHAKIE, WY82514
 Phone: 307-332-6902
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for DEANA L GUDMUNDSEN · (Female)

NPI # 1588806855
Status Active
Credentials COTA/L (Licensed Certified Occupational Therapy Assistant )
Entity Individual
Enumeration date 04/01/2009
Last updated 04/01/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • WY License # COTA 577
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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