Individual
MS. LISA JOY LANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
1115 13TH ST, RAWLINS, WY 82301-4610
(307) 324-5061
Mailing address
PO BOX 1262, RAWLINS, WY 82301-1262
(307) 324-5061
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-0129
WY
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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