Merek C Deacon P.T.

NPI 1619171378 - Physical Therapist - 225100000X

NPI Details
NPI 1619171378
Gender Female
Enumeration Date 06/14/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1575 N 4TH ST STE 101
LARAMIE WY, 82072-2091, US
Phone (307) 745-5434
Fax (307) 745-5484
Business Location
PO BOX 1146
LARAMIE WY, 82073-1146, US
Phone (307) 745-5434
Fax (307) 745-5484
Taxonomy Code 225100000X
License State Wyoming
License Number 1098
Remove 1619171378 NPI Number

According to our database, Merek C Deacon P.T. NPI is 1619171378, taxonomy code is 225100000X and license number is 1098, license state is located at Wyoming. Merek C Deacon P.T. physically located at 1575 N 4th St Ste 101, Laramie WY, 82072-2091. NPI Number Merek C Deacon P.T. has the Individual type.

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1619171378 NPI number is provided on an as is basis without warranty of any kind. 1619171378 is maintained by the National Plan & Provider Enumeration System. The contents of Merek C Deacon P.T. are for informational purposes only.