Provider Demographics
NPI:1346266434
Name:ALLMARAS, CONNIE (OTR)
Entity Type:Individual
Prefix:MS
First Name:CONNIE
Middle Name:
Last Name:ALLMARAS
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MS
Other - First Name:CONSTANCE
Other - Middle Name:
Other - Last Name:ALLMARAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:306 1/2 SOUTH THURMOND
Mailing Address - Street 2:
Mailing Address - City:SHERIDAN
Mailing Address - State:WY
Mailing Address - Zip Code:82801
Mailing Address - Country:US
Mailing Address - Phone:307-674-7884
Mailing Address - Fax:
Practice Address - Street 1:1898 FORT ROAD
Practice Address - Street 2:VAMC
Practice Address - City:SHERIDAN
Practice Address - State:WY
Practice Address - Zip Code:82801
Practice Address - Country:US
Practice Address - Phone:307-672-3473
Practice Address - Fax:307-672-1958
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist