JERRALYN R WASYLYSHEN

CHUBBUCK, ID
NPI1780952093
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-1796)
Enumeration Date2011-12-01
Last Update Date2011-12-01
Business Address
-- JERRALYN R WASYLYSHEN PT
4650 HAWTHORNE RD STE 2B
CHUBBUCK, ID 83202-2376
Phone number: 208-238-3349
Mailing Address
-- JERRALYN R WASYLYSHEN PT
PO BOX 6032
POCATELLO, ID 83205-6032
Phone number: 208-238-3349
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