Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | OT9633 | FL |
Y | 225X00000X | Occupational Therapist | OTR1216 | WY |
N | 2251E1200X | Ergonomics | OTR1216 | WY |
N | 225XE1200X | Ergonomics | OTR1216 | WY |
N | 225XG0600X | Occupational Therapist - Gerontology | OTR1216 | WY |
N | 225XH1200X | Occupational Therapist - Hand | OTR1216 | WY |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | OTR1216 | WY |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OTR1216 | WY |
NPI | 1174065213 |
---|---|
Provider Name | Mrs. Melissa Mcgrady Cunningham |
First Address | Cheyenne, WY 82009-7355 |
Second Address | Cheyenne, WY 82009-7355 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2016 |
Last Update Date | 07/11/2016 |