MARK LOWELL OSADCHEY

IDAHO FALLS, ID
NPI1992872923
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2251G0304X Physical Therapist, Geriatrics
(Licence: ID  PT-1001)
Enumeration Date2006-11-28
Last Update Date2007-07-09
Business Address
Mr. MARK LOWELL OSADCHEY R.P.T.
3310 VALENCIA DR
IDAHO FALLS, ID 83404-7502
Phone number: 208-520-4041
Mailing Address
Mr. MARK LOWELL OSADCHEY R.P.T.
PO BOX 3914
IDAHO FALLS, ID 83403-3914
Phone number: 208-520-4041
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