Elisa Detling, PTA

NPI #1922643568 in Rawlins, Wyoming

Provider Information

NPI Number
1922643568
Entity Type
Individual
Name
Elisa Detling, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Medicine & Rehabilitation
Credential
PTA
Enumeration Date
Nov 7, 2019
Last Updated
Nov 7, 2019

Practice Location

Address
1102 W SPRUCE ST
State
Wyoming
ZIP Code
82301-5335
Phone
(307) 370-9175

Specialties & Taxonomy Codes

Specialty
Physical Medicine & Rehabilitation

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