JOANNA GAIL SWALLOW

POCATELLO, ID
NPI1386315745
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ID  PTA-7315)
Enumeration Date2021-09-24
Last Update Date2021-09-24
Business Address
JOANNA GAIL SWALLOW PTA
1957 ALVIN RICKEN DR
POCATELLO, ID 83201-2727
Phone number: 208-235-7800
Mailing Address
JOANNA GAIL SWALLOW PTA
4662 CHRISTINE ST
CHUBBUCK, ID 83202-6500
Phone number: 208-220-6700