KEVIN WESLEY WARD

POCATELLO, ID
NPI1689052219
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-2386)
Enumeration Date2015-05-15
Last Update Date2015-05-15
Business Address
-- KEVIN WESLEY WARD PT, DPT
1800 FLANDRO DR SUITE 190
POCATELLO, ID 83202-4912
Phone number: 208-233-2248
Mailing Address
-- KEVIN WESLEY WARD PT, DPT
1800 FLANDRO DR SUITE 190
POCATELLO, ID 83202-4912
Phone number: 208-233-2248
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