Individual
LEILA H PORATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
305 BROADWAY ST, THERMOPOLIS, WY 82443-2713
(307) 864-4141
Mailing address
PO BOX 805, THERMOPOLIS, WY 82443-0805
(307) 864-4141
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-0277
WY
Other
Enumeration date
12/13/2007
Last updated
02/06/2008
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