Provider Demographics
NPI:1619162641
Name:BERRYHILL, TOINETTE M (OTR)
Entity Type:Individual
Prefix:
First Name:TOINETTE
Middle Name:M
Last Name:BERRYHILL
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6407 WINDMILL COURT
Mailing Address - Street 2:
Mailing Address - City:LARAMIE
Mailing Address - State:WY
Mailing Address - Zip Code:82070-8404
Mailing Address - Country:US
Mailing Address - Phone:970-219-1968
Mailing Address - Fax:
Practice Address - Street 1:6407 WINDMILL COURT
Practice Address - Street 2:
Practice Address - City:LARAMIE
Practice Address - State:WY
Practice Address - Zip Code:82070-8404
Practice Address - Country:US
Practice Address - Phone:970-219-1968
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-12
Last Update Date:2017-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO17902533Medicaid