Individual
LORI CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
669 MAIN ST, LANDER, WY 82520-3033
(307) 921-9332
Mailing address
669 MAIN ST, LANDER, WY 82520-3033
(307) 921-9332
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0324
WY
Other
Enumeration date
04/27/2011
Last updated
03/14/2012
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