Alexandra Laine Jack, DPT

NPI #1598076671 in Rock Springs, Wyoming

Provider Information

NPI Number: 1598076671
Entity Type: Individual
Name: Alexandra Laine Jack, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Jun 23, 2010
Last Updated: Jun 23, 2010

Practice Location

Address: 1977 DEWAR DR STE J
City: Rock Springs
State: Wyoming
ZIP Code: 82901-5757
Phone: (307) 382-3228

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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