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Organization

CHAMPLIN PHYSICAL THERAPY, LLC

Active
Other names
Physical Therapy Center
Organization subpart
No

Provider details

NPI number
Authorized official
SANDRA L CHAMPLIN PT, DPT (CO-OWNER/THERAPIST)
(307) 773-8533
Entity
Organization

Contact information

Practice address
1951 BLUEGRASS CIRCLE, CHEYENNE, WY 82009-7355
(307) 773-8533
(307) 635-7578
Mailing address
1951 BLUEGRASS CIRCLE, CHEYENNE, WY 82009-7355
(307) 773-8533
(307) 635-7578

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT 250
WY
225100000X
Physical Therapist
Primary
261QP2000X
Physical Therapy Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
125527400
WY
Enumeration date
11/09/2007
Last updated
11/22/2010
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