RICHARD BRENDON LEE

POCATELLO, ID
NPI1316789720
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-9190)
Enumeration Date2024-06-07
Last Update Date2024-06-07
Business Address
RICHARD BRENDON LEE
675 YELLOWSTONE AVE STE 1
POCATELLO, ID 83201-4511
Phone number: 208-478-1488
Mailing Address
RICHARD BRENDON LEE
675 YELLOWSTONE AVE STE 1
POCATELLO, ID 83201-4511
Phone number: 208-478-1488
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