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1730711060
REVIVE THERAPY
GILLETTE, WY
NPI
1730711060
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Entity Type
Organization
Authorized Contact
TRACI SMITH
Owner
307-622-1242
Organization Subpart ?
No
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2020-02-05
Last Update Date
2022-03-29
Business Address
REVIVE THERAPY
51 TOWN CENTER DR STE 110
GILLETTE, WY 82718-5521
Phone number: 307-622-1242
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Mailing Address
REVIVE THERAPY
PO BOX 2106
GILLETTE, WY 82717-2106
Phone number: 307-622-1242
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