Organization Name: | BEAR LODGE REHABILITATION SERVICES, LLC |
NPI Number: | 1558690099 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHARLES MANGUS (PRESIDENT) |
Mailing Address: | 226 South Highway 585 Sundance |
State: | WY US |
Postal Code: | 827290928 |
Phone Number: | 3072833516 |
Fax Number: | 3072833515 |
NPI Enumeration Date: | 12/11/2009 |
NPI Last Update Date: | 12/11/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |