Organization
ADVANTAGE REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNDA D BROWN P.T. (OWNER)
(307) 587-9866
Entity
Organization
Contact information
Practice address
1819 SHERIDAN AVE, CODY, WY 82414-3886
(307) 587-9866
(307) 587-9867
Mailing address
PO BOX 1705, CODY, WY 82414-1705
(307) 587-9866
(307) 587-9867
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
323
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119070900
—
WY
Enumeration date
03/27/2007
Last updated
05/08/2015
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