Bonnie Rudy, OTR/L
Individual provider Active NPI Pediatric Occupational Therapist · Mountain View, WY
NPI 1619691979 · NPPES record last updated Sep 30, 2022
Key facts
- NPI
- 1619691979
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Occupational Therapist 225XP0200X
- License
- OT-702 (WY)
- Practice address
- 3100 County Road 241
Mountain View, WY 82939 - Phone
- (307) 782-6202
- NPI assigned
- Sep 30, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT-702 | WY | MD | Pediatric Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT-702 | WY | Yes |
Addresses
Primary practice location
3100 County Road 241
Mountain View, WY 82939
Mailing address
PO Box 321
Mountain View, WY 82939-0321
Phone (307) 747-0494
Other providers in Mountain View, WY
- Lincoln Uinta Child Development Association
- Maureen McArthur
- Susan Parkinson
- Jessica Parkyn
- Quality Care, LLC
- Shopko Stores Operating Co LLC
- Kimberly Sue Stephens
- Christine Stoddard
- Taponi Animal Therapy LLC
- Timberland Chiropractic PC
All providers in Mountain View, WY · Pediatric Occupational Therapist in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.