Organization
307 PHYSICAL THERAPY
Active
Organization
307 PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLIVIA DONALD OT (OCCUPATIONAL THERAPIST)
(307) 267-3851
Entity
Organization
Contact information
Practice address
2665 E 2ND ST, CASPER, WY 82609
(307) 337-1740
(307) 337-1739
Mailing address
2665 E 2ND ST, CASPER, WY 82609-2045
(307) 337-1740
(307) 337-1739
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1379
WY
Other
Enumeration date
05/09/2018
Last updated
07/02/2021
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