| NPI | 1255797007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL DIANE DAVIS Occupational Therapist 307-677-0669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation (Licence: WY OTR-509) |
| Enumeration Date | 2016-01-09 |
| Last Update Date | 2016-01-09 |