ABIGAIL DAWN CRANDALL

REXBURG, ID
NPI1982301982
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ID  PTA8612)
Enumeration Date2023-02-09
Last Update Date2023-02-09
Business Address
ABIGAIL DAWN CRANDALL
36 WINN DR STE 100
REXBURG, ID 83440-5277
Phone number: 208-356-0174
Mailing Address
ABIGAIL DAWN CRANDALL
1209 N 990 E
SHELLEY, ID 83274-5177
Phone number: