CHAD ALAN CLARK

POCATELLO, ID
NPI1831536994
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT - 3181)
Enumeration Date2013-05-30
Last Update Date2013-05-30
Business Address
-- CHAD ALAN CLARK
560 MEMORIAL DR STE C
POCATELLO, ID 83201-4073
Phone number: 208-232-4267
Mailing Address
-- CHAD ALAN CLARK
560 MEMORIAL DR STE C
POCATELLO, ID 83201-4073
Phone number: 208-232-4267
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