MARY A KODAK

COEUR D ALENE, ID
NPI1427216928
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ID  PTA 0313)
Enumeration Date2008-05-30
Last Update Date2008-05-30
Business Address
Mr. MARY A KODAK PTA
500 W AQUA AVE
COEUR D ALENE, ID 83815-7764
Phone number: 208-762-1122
Mailing Address
Mr. MARY A KODAK PTA
500 W AQUA AVE
COEUR D ALENE, ID 83815-7764
Phone number: 208-762-1122
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