| Jared Pulliam, | |
|
542 16th St, Rawlins, WY 82301-5241 | |
| (307) 324-2759 | |
| Not Available |
| Full Name | Jared Pulliam |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 542 16th St, Rawlins, Wyoming |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366911257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XG0600X | Occupational Therapist - Gerontology | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | OT-1425 (Wyoming) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jared Pulliam, 812 Watten Ln, Westerville, OH 43081-3777 Ph: (614) 312-7087 | Jared Pulliam, 542 16th St, Rawlins, WY 82301-5241 Ph: (307) 324-2759 |
Elizabeth Demoss, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 542 16th St, Rawlins, WY 82301 Phone: 307-324-2759 | |
Ann Marie Marta, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 542 16th St, Rawlins, WY 82301 Phone: 307-324-2759 | |
Ricardo Prado, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 542 16th St, Rawlins, WY 82301 Phone: 307-324-2759 |