DIANE JANICKI

GREEN RIVER, WY
NPI1306008081
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: WY  218)
Enumeration Date2008-06-25
Last Update Date2008-06-25
Business Address
-- DIANE JANICKI R.P.T
140 COMMERCE DR
GREEN RIVER, WY 82935-6178
Phone number: 307-875-8492
Mailing Address
-- DIANE JANICKI R.P.T
PO BOX 1497
GREEN RIVER, WY 82935-1497
Phone number: 307-875-8492