Individual
KORBE CHRISTOPHER WADAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1330 PRAIRIE AVE, CHEYENNE, WY 82009-4842
(307) 778-8997
Mailing address
10108 BARRETT RD, CHEYENNE, WY 82009-8893
(308) 728-7297
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-0722
WY
Other
Enumeration date
10/11/2011
Last updated
10/11/2011
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