| 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 |