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1184707911
POCATELLO PHYSICAL THERAPY CLINIC PA
POCATELLO, ID
NPI
1184707911
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Entity Type
Organization
Authorized Contact
DAN R DES FOSSES
President Owner
208-233-4800
Organization Subpart ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2006-10-23
Last Update Date
2011-05-10
Business Address
POCATELLO PHYSICAL THERAPY CLINIC PA
1033 W QUINN RD
POCATELLO, ID 83202-2425
Phone number: 208-233-4800
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Mailing Address
POCATELLO PHYSICAL THERAPY CLINIC PA
PO BOX 2844
POCATELLO, ID 83206-2844
Phone number: 208-233-4800
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