| NPI | 1962700336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENAE ELISE HERBIG Owner/Occupational Therapist 307-315-6184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WY OTR-683) |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2011-10-17 |