JOSEPH GORRICETA

POCATELLO, ID
NPI1811461056
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  3110)
Enumeration Date2019-01-21
Last Update Date2019-01-21
Business Address
JOSEPH GORRICETA
527 MEMORIAL DR
POCATELLO, ID 83201-4063
Phone number: 208-478-3333
Mailing Address
JOSEPH GORRICETA
1667 S LEE AVE
IDAHO FALLS, ID 83404-6033
Phone number: