ELISA DETLING

RAWLINS, WY
NPI1922643568
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: WY  0825)
Enumeration Date2019-11-07
Last Update Date2019-11-07
Business Address
ELISA DETLING PTA
1102 W SPRUCE ST
RAWLINS, WY 82301-5335
Phone number: 307-370-9175
Mailing Address
ELISA DETLING PTA
1102 W SPRUCE ST
RAWLINS, WY 82301-5335
Phone number:
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