Individual
GILLIAN BUTSCH BERRIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
4075 JARVIS LANE, WILSON, WY 83014
(802) 272-5626
Mailing address
PO BOX 14161, JACKSON, WY 83002-4161
(307) 734-1429
(307) 734-1427
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1630
WY
Other
Enumeration date
06/23/2016
Last updated
12/10/2020
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