| NPI | 1093767121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY BLAIR Owner 307-235-3910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2017-04-20 |