Individual
MRS. BRENDA J OAKLEAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
1016 ORD ST, LARAMIE, WY 82070-4644
(307) 414-0535
Mailing address
1016 ORD ST, LARAMIE, WY 82070-4644
(307) 414-0535
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10557
CO
225100000X
Physical Therapist
PT-2992
ID
225100000X
Physical Therapist
Primary
PTP-PT-LIC-2488
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40361400
—
WI
Enumeration date
10/19/2006
Last updated
01/16/2025
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