CHAD IVES LEPAK

BOISE, ID
NPI1851509327
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-803)
Enumeration Date2007-05-18
Last Update Date2007-07-08
Business Address
-- CHAD IVES LEPAK PT
3812 LA MESITA WAY
BOISE, ID 83702-1537
Phone number: 208-385-0350
Mailing Address
-- CHAD IVES LEPAK PT
3812 LA MESITA WAY
BOISE, ID 83702-1537
Phone number: 208-385-0350
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