Organization
DEVELOPMENTAL PHYSICAL THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA JANE MCDONALD PT, DPT, PCS (PHYSICAL THERAPIST)
(307) 413-4880
Entity
Organization
Contact information
Practice address
1355 HOYT LN, JACKSON, WY 83001-9446
(307) 413-4880
Mailing address
1355 HOYT LN, JACKSON, WY 83001-9446
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
175
WY
Other
Enumeration date
05/09/2009
Last updated
07/10/2011
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