Organization
FOUR PINES PHYSICAL THERAPY PC
Active
Organization
FOUR PINES PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIRGINIA NORENE CHRISTENSEN PT MS OCS (OWNER PRESIDENT)
(307) 733-5577
Entity
Organization
Contact information
Practice address
1090 S HWY 89, JACKSON, WY 83001
(307) 733-5577
(307) 733-5505
Mailing address
PO BOX 8467, JACKSON, WY 83002-8467
(307) 733-5577
(307) 733-5505
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113731000
—
WY
01
—
307976
BCBS
WY
Enumeration date
10/21/2006
Last updated
11/29/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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