Individual
MR. COREY SHANE DAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, MPT, OCS
Contact information
Practice address
29 BLACK COAL DRIVE, PHS INDIAN HEALTH CENTER ATTN: PHYSICAL THERAPY DEPT., FORT WASHAKIE, WY 82514
(307) 335-5935
Mailing address
PO BOX 128, PHS INDIAN HEALTH CENTER ATTN: PHYSICAL THERAPY DEPT., FORT WASHAKIE, WY 82514
(307) 335-5935
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1116838
TX
Other
Enumeration date
02/26/2007
Last updated
07/15/2009
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