| NPI | 1700510757 |
|---|---|
| Other Name | CRMG THERAPY AND PERFORMANCE PLAZA |
| Entity Type | Organization |
| Authorized Contact | ERIN PETERSEN Payer Enrollment Specialist 307-432-3664 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2022-07-14 |
| Last Update Date | 2025-09-04 |