Organization Name: | COMPLETE PHYSICAL THERAPY, LLC |
NPI Number: | 1003279407 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JENNIFER FRONTIERO (PHYSICAL THERAPIST/OWNER) |
Mailing Address: | 1541 Diamond Dr Casper |
State: | WY US |
Postal Code: | 826016247 |
Phone Number: | 3072589426 |
Fax Number: | |
NPI Enumeration Date: | 04/01/2016 |
NPI Last Update Date: | 04/01/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | PT-1212 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WY |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |