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1548808637
POCATELLO PHYSICAL THERAPY
POCATELLO, ID
NPI
1548808637
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Entity Type
Organization
Authorized Contact
RANDY C. SIDWELL
Owner, PT
208-232-6490
Organization Subpart ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2019-12-19
Last Update Date
2019-12-19
Business Address
POCATELLO PHYSICAL THERAPY
333 N 18TH AVE STE D2
POCATELLO, ID 83201-3358
Phone number: 208-232-6490
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Mailing Address
POCATELLO PHYSICAL THERAPY
333 N 18TH AVE STE D2
POCATELLO, ID 83201-3358
Phone number: 208-232-6490
Copy
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