Organization
PHYSICAL THERAPY CLINIC PC
Active
Organization
PHYSICAL THERAPY CLINIC PC
Active
Other names
Physical Therapy Clinic PC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEILA HEIDI PORATH PT (PHYSICAL THERAPIST OWNER PRESIDENT)
(307) 864-4141
Entity
Organization
Contact information
Practice address
305 BROADWAY, THERMOPOLIS, WY 82443
(307) 864-4141
Mailing address
PO BOX 805, THERMOPOLIS, WY 82443
(307) 864-4141
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
277
WY
Other
Enumeration date
01/26/2007
Last updated
08/22/2020
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