Danielle Grace Halstead, OTD, OTR/L | |
1103 E Boxelder Rd, Gillette, WY 82718-5582 | |
(307) 686-8177 | |
Not Available |
Full Name | Danielle Grace Halstead |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 1103 E Boxelder Rd, Gillette, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528787561 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 0007536 (Colorado) | Secondary |
225X00000X | Occupational Therapist | OT-1701 (Wyoming) | Primary |
Provider Name | 212 Degrees, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1154653400 PECOS PAC ID: 3072648468 Enrollment ID: O20100324000641 |
Mailing Address | Practice Location Address |
---|---|
Danielle Grace Halstead, OTD, OTR/L 506 Fairway Dr, Gillette, WY 82718-7602 Ph: (701) 391-1613 | Danielle Grace Halstead, OTD, OTR/L 1103 E Boxelder Rd, Gillette, WY 82718-5582 Ph: (307) 686-8177 |
Emmy Louann O'connell, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1211 S Douglas Hwy Ste 100, Gillette, WY 82716 Phone: 307-670-9191 | |
Kalin Hale, OTD, OTR/L, CEES Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1013 E Boxelder Rd Ste 100, Gillette, WY 82718 Phone: 307-682-4900 | |
Lindsey Ann Hall, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1211 S Douglas Hwy, Suite 130, Gillette, WY 82716 Phone: 307-763-1650 | |
Lauren Mullaney, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 508 Stocktrail Ave Ste D, Gillette, WY 82716 Phone: 307-688-8000 | |
Mrs. Anni Jean Stafford, MOTR L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1211 S Douglas Hwy Ste 100, Gillette, WY 82716 Phone: 307-670-9191 Fax: 307-670-9193 | |
Ashley Rogers, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1211 S Douglas Hwy Ste 100, Gillette, WY 82716 Phone: 307-670-9191 | |
Shayna Rae Carpenter, MOTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1211 S Douglas Hwy Ste 100, Gillette, WY 82716 Phone: 307-670-9191 |