MARTIN OKELBERRY

TWIN FALLS, ID
NPI1689919706
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ID  PTA-3029)
Enumeration Date2012-11-29
Last Update Date2012-11-29
Business Address
-- MARTIN OKELBERRY PTA
674 EASTLAND DR
TWIN FALLS, ID 83301-6846
Phone number: 208-734-4264
Mailing Address
-- MARTIN OKELBERRY PTA
5540 BANNOCK HWY
POCATELLO, ID 83204-3803
Phone number: