Michelle L Mazur
Occupational Therapist Occupational Therapist - Hand
388 Main St Ste A
Lander
, Wyoming 82520-3104
Michelle L Mazur
Occupational Therapist Occupational Therapist - Hand
388 Main St Ste A
Lander
, Wyoming 82520-3104
(307) 332-5388
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About
Features
Specialties
- Occupational Therapist
- Occupational Therapist - Hand
Languages spoken
- English
Location
First Address
- Michelle L Mazur
- Po Box 625
- Lander, WY
- Zip : 82520-0625
- Fax : (307) 332-5388
- Phone : (307) 335-3471
Second Address
- Michelle L Mazur
- 388 Main St Ste A
- Lander, WY
- Zip : 82520-3104
- Fax : (307) 332-5388
- Phone : (307) 335-3471
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | OT00003155 | WA |
| Y | 225XH1200X | Occupational Therapist - Hand | OT00003155 | WA |
National Provider Identifier
| NPI | 1114061611 |
|---|---|
| Provider Name | Michelle L Mazur |
| First Address | Lander, WY 82520-0625 |
| Second Address | Lander, WY 82520-3104 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/02/2007 |
| Last Update Date | 07/01/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0218062 | DEPT. OF LABOR & INDUSTRY (01) | WA |
| 5245MA | REGENCE BLUE SHIELD (01) | WA |
| 8950731 | DSHS (01) | WA |
| 8950731 | L&I CRIME (01) | WA |
| G8880790 | (02) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.