ALICE LORAINE

PONDERAY, ID
NPI1295129476
Other NameALI LORAINE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-3693)
Enumeration Date2015-03-25
Last Update Date2022-11-21
Business Address
ALICE LORAINE DPT, OMS
210 TRIANGLE DR STE E
PONDERAY, ID 83852-9791
Phone number: 208-946-5364
Mailing Address
ALICE LORAINE DPT, OMS
210 TRIANGLE DR STE E
PONDERAY, ID 83852-9791
Phone number: 208-946-5364
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