Individual
GIANNA RISOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
120 W PEARL AVE, JACKSON, WY 83001-8657
(307) 734-9129
Mailing address
PO BOX 880, JACKSON, WY 83001-0880
(303) 921-1560
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1502
WY
Other
Enumeration date
08/06/2013
Last updated
08/31/2020
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