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Organization

OPTIMAL PHYSICAL THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEREMY EDWARD BIEBER DPT (OWNER)
(307) 262-7006
Entity
Organization

Contact information

Practice address
4120 S POPLAR ST, CASPER, WY 82601-6104
(307) 262-7006
Mailing address
4120 S POPLAR ST, CASPER, WY 82601-6104
(307) 262-7006

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
261QP2000X
Physical Therapy Clinic/Center
Primary
1140
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PT-1981
WYOMING STATE BOARD OF PHYSICAL THERAPY
WY
Enumeration date
02/20/2015
Last updated
10/28/2025
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