NPI | 1891025938 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURA SIMMONS Owner/President 307-690-5558 |
Organization Subpart ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: WY 1126) |
Enumeration Date | 2010-01-13 |
Last Update Date | 2010-01-13 |