CRAE BERRETT

POCATELLO, ID
NPI1609147966
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-0851)
Enumeration Date2012-01-18
Last Update Date2012-01-18
Business Address
-- CRAE BERRETT PT
2891 SHELLY PL
POCATELLO, ID 83201-1998
Phone number: 208-251-1107
Mailing Address
-- CRAE BERRETT PT
2891 SHELLY PL
POCATELLO, ID 83201-1998
Phone number: 208-251-1107
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