Individual
MRS. TERRI DEVER NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
317 N FALER AVE, PINEDALE, WY 82941
(307) 367-6236
(307) 367-3332
Mailing address
PO BOX 1037, PINEDALE, WY 82941-1037
(307) 367-6236
(307) 367-3332
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT761
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
312784
BLUE CROSS BLUE SHIELD
WY
Enumeration date
08/03/2006
Last updated
07/08/2007
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