Organization
ACTIVE AGING AND REHABILITATION PARTNERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON R FALVEY PT, DPT, GCS, CEEAA (SOLE MEMBER)
(207) 951-0704
Entity
Organization
Contact information
Practice address
215 WALTERSCHEID BLVD, APT F305, CHEYENNE, WY 82007-2333
(207) 951-0704
Mailing address
215 WALTERSCHEID BLVD, APT F305, CHEYENNE, WY 82007-2333
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1376
WY
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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