CORDELL PICKERING

REXBURG, ID
NPI1124514286
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT5542)
Enumeration Date2018-07-02
Last Update Date2023-03-01
Business Address
CORDELL PICKERING DPT
526 FIRST AMERICAN CIR STE B
REXBURG, ID 83440-5400
Phone number: 208-534-7001
Mailing Address
CORDELL PICKERING DPT
1940 S BONITO WAY STE 190
MERIDIAN, ID 83642-5618
Phone number: 208-287-9420
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