Physical Therapy Clinic PC

NPI #1790831154 in Thermopolis, Wyoming

Provider Information

NPI Number: 1790831154
Entity Type: Organization
Organization Name: Physical Therapy Clinic PC
Primary Specialty: Physical Therapist
Enumeration Date: Jan 26, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 305 BROADWAY
City: Thermopolis
State: Wyoming
ZIP Code: 82443
Phone: (307) 864-4141

Authorized Official

Name: MRS. LEILA HEIDI PORATH, PT
Title: PHYSICAL THERAPIST OWNER PRESIDENT
Phone: (307) 864-4141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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