NPI | 1609229319 |
---|---|
Doing Business As | ADVANCE THERAPY |
Entity Type | Organization |
Authorized Contact | SANJA WEART Billing Manager 307-683-0123 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Additional Taxonomies | 225100000X Physical Therapist |
225X00000X Occupational Therapist | |
Enumeration Date | 2016-07-18 |
Last Update Date | 2021-09-21 |