| NPI | 1730690504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY A ROBERTSON Owner, P.T. 307-333-2943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WY 0378) |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2022-03-31 |