JEANNIE MARIE MATTOX

PLUMMER, ID
NPI1205503539
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ID  PTA-6401)
Enumeration Date2021-08-25
Last Update Date2021-08-25
Business Address
JEANNIE MARIE MATTOX PTA
1100 A STREET
PLUMMER, ID 83851
Phone number: 208-686-7041
Mailing Address
JEANNIE MARIE MATTOX PTA
PO BOX 516
PLUMMER, ID 83851-0516
Phone number: 208-686-7041
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