JAMES MICHAEL PEASE

EAGLE, ID
NPI1346584810
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ID  PTA71)
Enumeration Date2012-11-21
Last Update Date2012-11-21
Business Address
Mr. JAMES MICHAEL PEASE PTA
1069 N SNEAD PL
EAGLE, ID 83616-6509
Phone number: 208-939-2715
Mailing Address
Mr. JAMES MICHAEL PEASE PTA
1069 N SNEAD PL
EAGLE, ID 83616-6509
Phone number: 208-939-2715