STANLEY RYAN PECK

TWIN FALLS, ID
NPI1548815079
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT6264)
Enumeration Date2019-08-01
Last Update Date2019-08-01
Business Address
STANLEY RYAN PECK PT, DPT
1053 EASTLAND DR
TWIN FALLS, ID 83301-6747
Phone number: 208-736-9011
Mailing Address
STANLEY RYAN PECK PT, DPT
478 LOIS ST
TWIN FALLS, ID 83301-7636
Phone number: