Organization
WYOMING PHYSICAL THERAPY PC
Active
Other names
Brookside Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER WILSON (OWNER)
(720) 223-6177
Entity
Organization
Contact information
Practice address
322 N MAIN ST., PINE BLUFFS, WY 82082
(307) 245-3858
(307) 245-3326
Mailing address
1217 S GREELEY HWY STE A, CHEYENNE, WY 82007-3063
(307) 772-0955
(307) 772-0953
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/12/2019
Last updated
01/25/2024
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