Provider Demographics
NPI:1154654150
Name:WRIGHT, STEPHANIE ROSE (MOTR)
Entity Type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:ROSE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MOTR
Other - Prefix:MRS
Other - First Name:STEPHANIE
Other - Middle Name:ROSE
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MOTR/L
Mailing Address - Street 1:PO BOX 382
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82602-0382
Mailing Address - Country:US
Mailing Address - Phone:307-258-4546
Mailing Address - Fax:307-337-1279
Practice Address - Street 1:333 S BEECH ST
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82601-2805
Practice Address - Country:US
Practice Address - Phone:307-258-4546
Practice Address - Fax:307-337-1279
Is Sole Proprietor?:No
Enumeration Date:2009-09-09
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYOTR-827225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist