KATHLEEN L SLADE

JACKSON, WY
NPI1720151285
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WY  PTA-465)
Enumeration Date2006-11-15
Last Update Date2007-07-08
Business Address
-- KATHLEEN L SLADE PTA
1090 S HIGHWAY 89
JACKSON, WY 83001
Phone number: 307-733-5577
Mailing Address
-- KATHLEEN L SLADE PTA
PO BOX 8467
JACKSON, WY 83002-8467
Phone number: 307-733-5577
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