| NPI | 1366860942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRESTON PAGE HARMAN Physical Therapist 307-431-4376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2014-04-01 |