Individual
CELESTE DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
388 MAIN ST STE A, LANDER, WY 82520-3104
(307) 335-3471
Mailing address
1012 HILLSIDE AVE, RIVERTON, WY 82501-3901
(304) 479-1399
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/26/2018
Last updated
11/12/2020
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