| NPI | 1851880496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVIA DONALD Occupational Therapist 307-267-3851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WY 1379) |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2021-07-02 |