MARCIAL RODRIGO LEMOS

POCATELLO, ID
NPI1982131124
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ID  5116)
Enumeration Date2017-05-18
Last Update Date2017-05-18
Business Address
-- MARCIAL RODRIGO LEMOS
1800 FLANDRO DR STE 190
POCATELLO, ID 83202-4940
Phone number: 208-233-2248
Mailing Address
-- MARCIAL RODRIGO LEMOS
PO BOX 91
ABERDEEN, ID 83210-0091
Phone number: 208-339-8791