ANTHONY BADEN POWELL

POCATELLO, ID
NPI1003471665
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ID  PTA3510)
Enumeration Date2019-05-08
Last Update Date2019-05-08
Business Address
ANTHONY BADEN POWELL PTA
527 MEMORIAL DR
POCATELLO, ID 83201-4063
Phone number: 208-478-3333
Mailing Address
ANTHONY BADEN POWELL PTA
256 S JOHNSON AVE
POCATELLO, ID 83204-4228
Phone number: 208-419-8384
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