Pro Physical Therapy LLC

NPI #1164619078 in Diamondville, Wyoming

Provider Information

NPI Number
1164619078
Entity Type
Organization
Organization Name
Pro Physical Therapy LLC
Primary Specialty
Physical Therapist
Enumeration Date
Sep 25, 2007
Last Updated
Sep 25, 2007

Practice Location

Address
20 ADAVILLE DRIVE
Address 2
SUITE 10
State
Wyoming
ZIP Code
83116
Phone
(307) 877-1000

Authorized Official

Name
DALLAS LAYNE CLARK, PT
Title
OWNER/PHYSICAL THERAPIST
Phone
(435) 946-3512

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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