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1881100261
FITNESS FORWARD PHYSICAL THERAPY PLLC
IDAHO FALLS, ID
NPI
1881100261
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Entity Type
Organization
Authorized Contact
JON CHRISTOPHER MALLAMS
PT A/Owner
208-424-3999
Organization Subpart ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2017-12-20
Last Update Date
2017-12-20
Business Address
FITNESS FORWARD PHYSICAL THERAPY PLLC
1775 E 17TH ST STE D
IDAHO FALLS, ID 83404-4902
Phone number: 208-243-9999
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Mailing Address
FITNESS FORWARD PHYSICAL THERAPY PLLC
1775 E 17TH ST STE D
IDAHO FALLS, ID 83404-4902
Phone number: 208-243-9999
Copy
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