| |
727 E Brundage Ln, Sheridan, WY 82801-6274 | |
(307) 683-0123 | |
(307) 683-0101 |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 727 E Brundage Ln, Sheridan, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609229319 | NPI | - | NPPES |
Provider Name | Virginia J Rieger |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1932432101 PECOS PAC ID: 7315084514 Enrollment ID: I20091020000749 |
Provider Name | Brian Curtis Allred |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1669755252 PECOS PAC ID: 3971775297 Enrollment ID: I20111011000306 |
Provider Name | Brianne Martin |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1891326385 PECOS PAC ID: 6103254396 Enrollment ID: I20200323001146 |
Provider Name | Hector Ignacio Baquedano |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1982271177 PECOS PAC ID: 9032512454 Enrollment ID: I20210722003025 |
Mailing Address | Practice Location Address |
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727 E Brundage Ln Ste L, Sheridan, WY 82801-6280 Ph: (307) 683-0123 | 727 E Brundage Ln, Sheridan, WY 82801-6274 Ph: (307) 683-0123 |