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1336438894
DEREK J SCHELSKE
CHUBBUCK, ID
NPI
1336438894
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-1634)
Enumeration Date
2011-04-05
Last Update Date
2011-04-05
Business Address
DEREK J SCHELSKE PT
4650 HAWTHORNE RD STE 2B
CHUBBUCK, ID 83202-2376
Phone number: 208-238-3349
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Mailing Address
DEREK J SCHELSKE PT
PO BOX 6032
POCATELLO, ID 83205-6032
Phone number: 208-238-3349
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