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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1225215635 NPPES
Wyoming MEDICAID 1225215635

Popular Providers