LADEAN I PACE

BURLEY, ID
NPI1093031957
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ID  PTA-160)
Enumeration Date2010-04-15
Last Update Date2010-04-15
Business Address
Mrs. LADEAN I PACE PTA
1501 HILAND AVE
BURLEY, ID 83318-2682
Phone number: 208-678-4444
Mailing Address
Mrs. LADEAN I PACE PTA
3465 E 1557 S
MALTA, ID 83342-7700
Phone number: 208-645-2622
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