| NPI | 1477681252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA LEA LEWIS President 307-413-4268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WY 1042) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2010-02-03 |