Four Pines Physical Therapy Pc

LBN: Four Pines Physical Therapy Pc
Four Pines Physical Therapy Pc is an health care organization with primary practice located at 1090 S Hwy 89 , Jackson WY 83001. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Four Pines Physical Therapy Pc can be contacted via phone (307) 733-5577, or through Christensen, Virginia Norene via phone (307) 733-5577.

Contact Information

Primary practice address
1090 S Hwy 89 Jackson WY 83001
Phone: (307) 733-5577
Fax: (307) 733-5505
Website:
Map and Directions
Authorized official contact:
Name: Christensen, Virginia Norene PT MS OCS
Phone: (307) 733-5577

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1013090539
LBN Legal business name Four Pines Physical Therapy Pc
DBA Doing business as
Authorized official Christensen, Virginia Norene PT MS OCS
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2006
Last updated Nov 29th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013090539 NPPES
Wyoming MEDICAID 113731000
Wyoming Other 307976

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