ZACHARY LUCAS DANIELS

IDAHO FALLS, ID
NPI1841595923
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-2780)
Enumeration Date2011-01-20
Last Update Date2016-02-25
Business Address
Mr. ZACHARY LUCAS DANIELS
2640 CHANNING WAY
IDAHO FALLS, ID 83404-7517
Phone number: 208-552-2248
Mailing Address
Mr. ZACHARY LUCAS DANIELS
2640 CHANNING WAY
IDAHO FALLS, ID 83404-7517
Phone number: 208-552-2248
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