Individual
MS. SARAH JANE MISCHKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
503 S 18TH ST, LARAMIE, WY 82070-4303
(307) 742-3728
Mailing address
1358 NORTH 19TH STREET, LARAMIE, WY 82072
(307) 421-8944
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0815
WY
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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