GREGARY GRADON BURCH

POCATELLO, ID
NPI1629761226
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-8623)
Enumeration Date2023-05-30
Last Update Date2023-05-30
Business Address
GREGARY GRADON BURCH PT
4141 POLELINE RD STE A
POCATELLO, ID 83202-4904
Phone number: 208-242-8617
Mailing Address
GREGARY GRADON BURCH PT
4141 POLELINE RD STE A
POCATELLO, ID 83202-4904
Phone number: 208-242-8617
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