Individual
MS. PAMELA J MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
128 S WASHINGTON ST, CASPER, WY 82601-2739
(307) 265-2461
(307) 265-2492
Mailing address
128 S WASHINGTON ST, CASPER, WY 82601-2739
(307) 265-2461
(307) 265-2492
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
612
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02-0736690
TAX ID #
WY
Enumeration date
11/20/2006
Last updated
07/08/2007
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