| NPI | 1821222548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA JANE MCDONALD Physical Therapist 307-413-4880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WY 175) |
| Enumeration Date | 2009-05-09 |
| Last Update Date | 2011-07-10 |