| Ms Gennifer L Young, OTR | |
|
831 Highway 150 S, Evanston, WY 82930-5340 | |
| (307) 789-3464 | |
| (307) 789-7373 |
| Full Name | Ms Gennifer L Young |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 831 Highway 150 S, Evanston, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649640442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OTR-238 (Wyoming) | Primary |
| Provider Name | State Of Wyoming |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1316011562 PECOS PAC ID: 4587552583 Enrollment ID: O20040728001439 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Gennifer L Young, OTR 831 Highway 150 S, Evanston, WY 82930-5340 Ph: (307) 789-3464 | Ms Gennifer L Young, OTR 831 Highway 150 S, Evanston, WY 82930-5340 Ph: (307) 789-3464 |
Uinta Physical Therapy, Inc. Occupational Therapist Medicare: Medicare Enrolled Practice Location: 170 Yellow Creek Rd, Suite D, Evanston, WY 82930 Phone: 307-783-8068 Fax: 307-783-8073 | |
Dr. Carol Diane Davis, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 612 Country Club Dr, Evanston, WY 82930 Phone: 307-677-0669 | |
Ms. Ashlee Jane Paramore, COTA Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 831 Highway 150 S, Evanston, WY 82930 Phone: 307-789-3464 Fax: 307-789-7373 |