| NPI | 1578968152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLE SEPPIE Owner/Physical Therapist 307-382-3242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WY PT-1327) |
| Enumeration Date | 2014-10-25 |
| Last Update Date | 2020-05-14 |