CLINTON AXMAN

JEROME, ID
NPI1982986923
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  2915)
Enumeration Date2011-09-15
Last Update Date2011-09-15
Business Address
CLINTON AXMAN PT
128 5TH AVE W
JEROME, ID 83338-1863
Phone number: 208-324-3090
Mailing Address
CLINTON AXMAN PT
128 5TH AVE W
JEROME, ID 83338-1863
Phone number: