NPI | 1174773352 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIN GRANT ROSSMAN Physical Theapist, Owner 307-256-0405 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WY 836) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WY 969) |
Enumeration Date | 2008-09-24 |
Last Update Date | 2008-09-24 |