DANNY RAE DESFOSSES

POCATELLO, ID
NPI1447324116
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT060)
Enumeration Date2006-11-17
Last Update Date2009-12-21
Business Address
-- DANNY RAE DESFOSSES DPT
1033 W QUINN RD
POCATELLO, ID 83202-2425
Phone number: 208-233-4800
Mailing Address
-- DANNY RAE DESFOSSES DPT
PO BOX 2844
POCATELLO, ID 83206-2844
Phone number: 208-233-4800
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