| NPI | 1164469995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE S PARRIS Owner 307-638-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WY PT843) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2008-02-01 |