Organization
CORE 307 PT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIFFANY CAROL CALLAWAY (OFFICE MANAGER)
(307) 670-9444
Entity
Organization
Contact information
Practice address
548 RUNNING W DR, GILLETTE, WY 82718-2074
(307) 670-9444
(307) 670-9188
Mailing address
548 RUNNING W DR, GILLETTE, WY 82718-2074
(307) 670-9444
(307) 670-9188
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1435
WY
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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