CARMEN NEEDHAM

RIVERTON, WY
NPI1467613539
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WY  PTA-0306)
Enumeration Date2008-06-21
Last Update Date2008-06-21
Business Address
-- CARMEN NEEDHAM PTA
1002 FOREST DR
RIVERTON, WY 82501-2918
Phone number: 307-856-1511
Mailing Address
-- CARMEN NEEDHAM PTA
2 S SMITH RD
RIVERTON, WY 82501-6449
Phone number: 307-856-5521
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