MR. Corey Shane Dahl, PT, MPT, OCS

NPI #1366578106 in Fort Washakie, Wyoming

Provider Information

NPI Number
1366578106
Entity Type
Individual
Name
MR. Corey Shane Dahl, PT, MPT, OCS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapist
Credential
PT, MPT, OCS
Enumeration Date
Feb 26, 2007
Last Updated
Jul 15, 2009

Practice Location

Address
29 BLACK COAL DRIVE
Address 2
PHS INDIAN HEALTH CENTER ATTN: PHYSICAL THERAPY DEPT.
State
Wyoming
ZIP Code
82514
Phone
(307) 335-5935

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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