OPTIMAL AQUA THERAPY, LLC

CHEYENNE, WY
NPI1700408192
Entity TypeOrganization
Authorized ContactPAUL JORDAN WASHBURN
Director
307-514-0510
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2020-05-08
Last Update Date2020-05-08
Business Address
OPTIMAL AQUA THERAPY, LLC
611 E CARLSON ST STE 117D
CHEYENNE, WY 82009-4311
Phone number: 307-514-0510
Mailing Address
OPTIMAL AQUA THERAPY, LLC
611 E CARLSON ST STE 117D
CHEYENNE, WY 82009-4311
Phone number: 307-514-0510
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