Charles Wassum, PT

NPI #1396174264 in Worland, Wyoming

Provider Information

NPI Number: 1396174264
Entity Type: Individual
Name: Charles Wassum, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Nov 1, 2013
Last Updated: Jun 9, 2014

Practice Location

Address: 120 S 17TH ST
City: Worland
State: Wyoming
ZIP Code: 82401-3637
Phone: (307) 347-4001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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