Organization
WYOMING PHYSICAL THERAPY PC
Active
Other names
FYZICAL Therapy and Balance Centers
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS K. WILSON (DELEGATED OFFICIAL)
(307) 772-0955
Entity
Organization
Contact information
Practice address
1620 E PERSHING BLVD, CHEYENNE, WY 82001-3238
(307) 772-0955
(307) 772-0953
Mailing address
1217 S GREELEY HWY STE A, CHEYENNE, WY 82007-3063
(307) 772-0955
(307) 772-0953
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/11/2019
Last updated
02/24/2020
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