Individual
DEANNA SUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1771 CENTENNIAL DR, 220, LARAMIE, WY 82070-8403
(307) 742-3571
Mailing address
1771 CENTENNIAL DR, 220, LARAMIE, WY 82070-8403
(307) 742-3571
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-0328
WY
Other
Enumeration date
04/16/2017
Last updated
04/16/2017
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