Individual
LEO SHANE SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
820 SUN VALLEY DR, CHEYENNE, WY 82001-6850
(307) 477-0176
Mailing address
820 SUN VALLEY DR, CHEYENNE, WY 82001-6850
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0841
WY
Other
Enumeration date
08/23/2017
Last updated
08/23/2017
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