SARAH INGALLS

CHUBBUCK, ID
NPI1215365168
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-3289)
Additional Taxonomies225100000X Physical Therapist
(Licence: UT  8555982-2401)
Enumeration Date2013-10-30
Last Update Date2013-10-30
Business Address
-- SARAH INGALLS DPT
4425 BURLEY DR
CHUBBUCK, ID 83202-1957
Phone number: 208-637-1100
Mailing Address
-- SARAH INGALLS DPT
1349 E BRIDGER ST
POCATELLO, ID 83201-4739
Phone number: 909-519-6918