TAILER PAIGE FOWLER

IDAHO FALLS, ID
NPI1417578519
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ID  5113)
Enumeration Date2020-04-29
Last Update Date2020-04-29
Business Address
TAILER PAIGE FOWLER
3111 CHANNING WAY
IDAHO FALLS, ID 83404-7534
Phone number: 208-529-0067
Mailing Address
TAILER PAIGE FOWLER
225 E 14TH ST
IDAHO FALLS, ID 83404-5910
Phone number: 208-243-4595
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