NPI 1558690099
Bear Lodge Rehabilitation Services, LLC
Practice location
- Address
- 226 South Highway 585, Sundance, WY 82729-0928
- Phone
- (307) 283-3516
- Fax
- (307) 283-3515
- Mailing address
- PO Box 1790, Douglas, WY 82633-1790
Authorised official
- Name
- Charles Mangus
- Title
- President
- Phone
- (307) 358-9464
Registered specialties
Physical Therapist
Primary
Registry record
- NPI
- 1558690099
- Entity type
- Organization
- NPI issued
- 11 Dec 2009
- Record last updated
- 11 Dec 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.