ELAINE J SPANG

DRIGGS, ID
NPI1487862876
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ID  PTA222)
Enumeration Date2007-05-18
Last Update Date2007-07-08
Business Address
-- ELAINE J SPANG PTA
50 SKI HILL RD
DRIGGS, ID 83422
Phone number: 208-354-3128
Mailing Address
-- ELAINE J SPANG PTA
PO BOX 1612
IDAHO FALLS, ID 83403-1612
Phone number: 208-525-2090
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