EMILIO KENNETH GUERRERO

POCATELLO, ID
NPI1457964876
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ID  6157)
Enumeration Date2020-08-25
Last Update Date2020-08-25
Business Address
EMILIO KENNETH GUERRERO PTA
1957 ALVIN RICKEN DR
POCATELLO, ID 83201-2727
Phone number: 208-235-7800
Mailing Address
EMILIO KENNETH GUERRERO PTA
25117 SW PARKWAY AVE STE D
WILSONVILLE, OR 97070-9697
Phone number: