JOSHUA ROBERT PEREGOY

LEWISTON, ID
NPI1215197868
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ID  PTA-393)
Enumeration Date2008-06-16
Last Update Date2008-06-16
Business Address
-- JOSHUA ROBERT PEREGOY PTA
3315 8TH ST
LEWISTON, ID 83501-4966
Phone number: 208-746-9543
Mailing Address
-- JOSHUA ROBERT PEREGOY PTA
3315 8TH ST
LEWISTON, ID 83501-4966
Phone number: 208-746-9543