GREGORY A ROMAN

RATHDRUM, ID
NPI1508372855
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT5329)
Enumeration Date2017-12-22
Last Update Date2017-12-22
Business Address
GREGORY A ROMAN DPT
16768 N HIGHWAY 41
RATHDRUM, ID 83858-8715
Phone number: 208-687-9195
Mailing Address
GREGORY A ROMAN DPT
16768 N HIGHWAY 41
RATHDRUM, ID 83858-8715
Phone number: 208-687-9195