Individual
MARIA E LOFGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
120 W PEARL AVE, JACKSON, WY 83001-8657
(307) 734-9129
(307) 734-1427
Mailing address
4235 POLO PONY RD, JACKSON, WY 83001-8974
(307) 734-9129
(307) 734-1427
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT971
WY
Other
Enumeration date
05/25/2006
Last updated
11/14/2014
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