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1215204862
CUSTOM REHAB LLC
CHUBBUCK, ID
NPI
1215204862
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Entity Type
Organization
Authorized Contact
JARED L MCKEE
Owner
208-244-1882
Organization Subpart ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2011-11-28
Last Update Date
2011-11-30
Business Address
CUSTOM REHAB LLC
265 E CHUBBUCK RD
CHUBBUCK, ID 83202-5055
Phone number: 208-244-1882
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Mailing Address
CUSTOM REHAB LLC
857 SHEBA RD
CHUBBUCK, ID 83202-2522
Phone number: 208-244-1882
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