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Organization

MOUNTAIN PHYSIO LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALEXANDRA A DRECHSEL DPT (SOLE MEMBER)
(207) 491-8989
Entity
Organization

Contact information

Practice address
225 ASPEN DR UNIT 2, JACKSON, WY 83001-8611
(207) 491-8989
Mailing address
PO BOX 10304, JACKSON, WY 83002-0304
(207) 491-8989

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
11/06/2020
Last updated
11/06/2020
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