| NPI | 1902990781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA ANN BRANDEL Co Owner 307-266-1203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-10-03 |