Provider Demographics
NPI:1366860942
Name:WORLAND PHYSICAL THERAPY
Entity Type:Organization
Organization Name:WORLAND PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PRESTON
Authorized Official - Middle Name:PAGE
Authorized Official - Last Name:HARMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:307-431-4376
Mailing Address - Street 1:120 S 17TH ST
Mailing Address - Street 2:
Mailing Address - City:WORLAND
Mailing Address - State:WY
Mailing Address - Zip Code:82401-3637
Mailing Address - Country:US
Mailing Address - Phone:307-347-4001
Mailing Address - Fax:307-347-4038
Practice Address - Street 1:120 S 17TH ST
Practice Address - Street 2:
Practice Address - City:WORLAND
Practice Address - State:WY
Practice Address - Zip Code:82401-3637
Practice Address - Country:US
Practice Address - Phone:307-347-4001
Practice Address - Fax:307-347-4038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-01
Last Update Date:2014-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy