KASSANDRA NOELLE STINE

IDAHO FALLS, ID
NPI1427572791
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ID  PTA-3228)
Enumeration Date2017-07-28
Last Update Date2017-07-28
Business Address
KASSANDRA NOELLE STINE PTA
3111 CHANNING WAY
IDAHO FALLS, ID 83404-7534
Phone number: 208-529-0067
Mailing Address
KASSANDRA NOELLE STINE PTA
2475 S AMMON RD APT 207
AMMON, ID 83406-4834
Phone number:
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