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-- DIANE JANICKI -- R.P.T

Individual Provider (NPI-1) Active

Physical Therapist

Provider Information

NPI Number
1306008081
Provider Type
Individual Provider (NPI-1)
Credentials
R.P.T
Status
Active

Contact & Location

Address
140 COMMERCE DR, GREEN RIVER, WY, 829356178
Phone
(307) 875-8492
Fax
(307) 875-7389

Specialties & Taxonomies

Physical Therapist Primary License: WY #218

All Addresses

MAILING

PO BOX 1497

GREEN RIVER, WY, 829351497

(307) 875-8492

LOCATION

140 COMMERCE DR

GREEN RIVER, WY, 829356178

(307) 875-8492