Organization Name: | WORLAND PHYSICAL THERAPY |
NPI Number: | 1366860942 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PRESTON PAGE HARMAN (PHYSICAL THERAPIST) |
Mailing Address: | 120 S 17th St Worland |
State: | WY US |
Postal Code: | 824013637 |
Phone Number: | 3073474001 |
Fax Number: | 3073474038 |
NPI Enumeration Date: | 04/01/2014 |
NPI Last Update Date: | 04/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WY |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |