Four Pines Physical Therapy PC

NPI #1013090539 in Jackson, Wyoming

Provider Information

NPI Number: 1013090539
Entity Type: Organization
Organization Name: Four Pines Physical Therapy PC
Primary Specialty: Physical Therapist
Enumeration Date: Oct 21, 2006
Last Updated: Nov 29, 2011

Practice Location

Address: 1090 S HWY 89
City: Jackson
State: Wyoming
ZIP Code: 83001
Phone: (307) 733-5577

Authorized Official

Name: MRS. VIRGINIA NORENE CHRISTENSEN, PT MS OCS
Title: OWNER PRESIDENT
Phone: (307) 733-5577

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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