PETE RICHAR JOHNSON

BLACKFOOT, ID
NPI1184314866
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  8747)
Enumeration Date2023-05-08
Last Update Date2023-05-08
Business Address
PETE RICHAR JOHNSON
131 N OAK ST
BLACKFOOT, ID 83221-1757
Phone number: 208-684-2444
Mailing Address
PETE RICHAR JOHNSON
131 N OAK ST
BLACKFOOT, ID 83221-1757
Phone number: 208-684-2444
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