Individual
LISA NICHOLLS MOHATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
135 N GOULD ST, SHERIDAN, WY 82801-3927
(307) 752-6633
Mailing address
PO BOX 6544, SHERIDAN, WY 82801-7100
(307) 752-6633
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0947
WY
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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