Individual
LAURA J BENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1901 HOWELL AVE, WORLAND, WY 82401-3733
(307) 347-4285
Mailing address
PO BOX 1118, BASIN, WY 82410-1118
(614) 634-6558
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA1038
WY
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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