Organization
EXCEL PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA E LOFGREN PT (OWNER)
(307) 734-9129
Entity
Organization
Contact information
Practice address
120 W PEARL AVE, JACKSON, WY 83001-8657
(307) 734-9129
(307) 734-1427
Mailing address
PO BOX 8857, JACKSON, WY 83002-8857
(307) 734-9129
(307) 734-1427
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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