Doctor Name: | MISS DEHNING JO DEHNING |
NPI Number: | 1003020744 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, PT |
License Number: | 1052 |
Business Practice Address: | 90 Ethete Road Fort Washakie, WY - 82514 |
Business Phone Number: | 3073323516 |
Business Fax Number: | 3073329116 |
Mailing Address: | 235 River Pl, LANDER |
State: | WY |
Postal Code: | 825203492 |
Phone Number: | 3073355066 |
Fax Number: | |
NPI Enumeration Date: | 05/10/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 1052 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |