Individual
DR. TIFFANY POLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3905 E GRAND AVE STE 200, LARAMIE, WY 82070-5189
(307) 742-2082
Mailing address
3905 E GRAND AVE STE 200, LARAMIE, WY 82070-5189
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1864
WY
Other
Enumeration date
07/01/2019
Last updated
07/01/2019
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