Organization
BEAR LODGE REHABILITATION SERVICES, LLC
Active
Parent organization
NORTH PLATTE PHYSICAL THERAPY SERVICES, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH PLATTE PHYSICAL THERAPY SERVICES, INC
Authorized official
CHARLES MANGUS PT (PRESIDENT)
(307) 358-9464
Entity
Organization
Contact information
Practice address
226 SOUTH HIGHWAY 585, SUNDANCE, WY 82729-0928
(307) 283-3516
(307) 283-3515
Mailing address
PO BOX 1790, DOUGLAS, WY 82633-1790
(307) 358-9464
(307) 358-9330
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/11/2009
Last updated
12/11/2009
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