| NPI | 1215260096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAREN L MARTIN Owner 307-783-8068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2025-08-26 |