Individual
JOAN M KULOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
14 GREAT PLAINS ROAD, ARAPAHO, WY 82510-0014
(307) 856-9281
(307) 463-4489
Mailing address
1210 CANYON HILLS RD, THERMOPOLIS, WY 82443-3137
(307) 864-5591
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-0509
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153364900
—
WY
Enumeration date
04/09/2017
Last updated
07/17/2020
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