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-- CARMEN NEEDHAM -- PTA

Individual Provider (NPI-1) Active

Physical Therapy Assistant

Provider Information

NPI Number
1467613539
Provider Type
Individual Provider (NPI-1)
Credentials
PTA
Status
Active

Contact & Location

Address
1002 FOREST DR, RIVERTON, WY, 825012918
Phone
(307) 856-1511

Specialties & Taxonomies

Physical Therapy Assistant Primary License: WY #PTA-0306

All Addresses

MAILING

2 S SMITH RD

RIVERTON, WY, 825016449

(307) 856-5521

LOCATION

1002 FOREST DR

RIVERTON, WY, 825012918

(307) 856-1511