Cottenoir, Deidra
Cottenoir, Deidra is an individual health care provider with primary practice located at 311 Thelma Dr , Casper WY 82609-2325. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Cottenoir, Deidra can be contacted via phone (307) 234-2662.Contact Information
Primary practice address
311 Thelma Dr
Casper WY 82609-2325
Phone: (307) 234-2662
Fax: (307) 234-8810
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1224 | Wyoming |
Profile Details
| NPI number | 1225215635 |
|---|---|
| LBN Legal business name | Cottenoir, Deidra |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 28th, 2008 |
| Last updated | Jun 24th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225215635 | NPPES |
| Wyoming | MEDICAID | 1225215635 |
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