ALEXANDRA LAINE JACK

ROCK SPRINGS, WY
NPI1598076671
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WY  1313)
Enumeration Date2010-06-23
Last Update Date2010-06-23
Business Address
-- ALEXANDRA LAINE JACK DPT
1977 DEWAR DR STE J
ROCK SPRINGS, WY 82901-5757
Phone number: 307-382-3228
Mailing Address
-- ALEXANDRA LAINE JACK DPT
1977 DEWAR DR STE J
ROCK SPRINGS, WY 82901-5757
Phone number: 307-382-3228