DALLIN ROBERT LEIFSON

IDAHO FALLS, ID
NPI1972171114
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-7487)
Enumeration Date2021-06-14
Last Update Date2021-06-14
Business Address
Mr. DALLIN ROBERT LEIFSON PT, DPT
3345 POTOMAC WAY
IDAHO FALLS, ID 83404-4978
Phone number: 208-233-2248
Mailing Address
Mr. DALLIN ROBERT LEIFSON PT, DPT
263 S STOUT AVE
BLACKFOOT, ID 83221-3230
Phone number: 801-389-6496