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Individual

VICKI LYNN LEGERSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.A.

Contact information

Practice address
360 W MAIN ST, NEWCASTLE, WY 82701-2719
(307) 746-3573
(307) 746-3572
Mailing address
PO BOX 1790, DOUGLAS, WY 82633-1790
(307) 358-9434
(307) 358-9330

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-357
WY

Other

Enumeration date
06/16/2009
Last updated
06/16/2009
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