| NPI | 1790831154 |
|---|---|
| Doing Business As | PHYSICAL THERAPY CLINIC PC |
| Entity Type | Organization |
| Authorized Contact | LEILA HEIDI PORATH Physical Therapist Owner President 307-864-4141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WY 277) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-08-22 |