Individual
MRS. ALICIA R CLOUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT,ATC
Contact information
Practice address
1013 E BOXELDER RD, GILLETTE, WY 82718-5536
(307) 682-4900
(307) 687-7243
Mailing address
PO BOX 7132, GILLETTE, WY 82717-7132
(307) 682-4900
(307) 687-7243
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/05/2006
Last updated
11/15/2016
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