RAYCHL FAIRBANKS
Individual Provider (NPI-1)
Active
Physical Therapist
Provider Information
- NPI Number
1912823394- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 3125 E GRAND AVE, LARAMIE, WY, 820705137
- Phone
- (307) 742-3110
Specialties & Taxonomies
Physical Therapist
Primary License: WY #PT-2624