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1467613539
CARMEN NEEDHAM
RIVERTON, WY
NPI
1467613539
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WY PTA-0306)
Enumeration Date
2008-06-21
Last Update Date
2008-06-21
Business Address
-- CARMEN NEEDHAM PTA
1002 FOREST DR
RIVERTON, WY 82501-2918
Phone number: 307-856-1511
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Mailing Address
-- CARMEN NEEDHAM PTA
2 S SMITH RD
RIVERTON, WY 82501-6449
Phone number: 307-856-5521
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