DEL TREJO

BOISE, ID
NPI1982152690
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ID  PTA-347)
Enumeration Date2016-09-12
Last Update Date2016-09-12
Business Address
Mr. DEL TREJO PTA
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2078
Mailing Address
Mr. DEL TREJO PTA
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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