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Pocatello Rehabilitation Pa
Specialist in Pocatello, Idaho
NPI 1528143864

Pocatello Rehabilitation Pa is a Specialist based in Pocatello, ID. Pocatello Rehabilitation Pa practices in Pocatello, ID. The NPI Number for Pocatello Rehabilitation Pa is 1528143864 and holds a License No. M5852 (Idaho).

The current practice location address for Pocatello Rehabilitation Pa is 500 S 11Th Ave Ste 201, Pocatello, ID and can be reached out via phone at 208-234-1984 and via fax at 208-234-1987.

Location: 500 S 11Th Ave Ste 201, Pocatello, ID, 83201-4878
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1528143864
Provider Name
Pocatello Rehabilitation Pa
Credential
Provider Entity Type
Organization
Address
500 S 11Th Ave Ste 201, Pocatello, ID, 83201-4878
Phone Number
208-234-1984
Fax Number
208-234-1987
Provider Enumeration Date
10/26/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
500 S 11Th Ave Ste 201
City
Pocatello
State
Idaho
Zip
83201-4878
Phone Number
208-234-1984
Fax Number
208-234-1987
person
Provider Business Mailing Address Details
Address
500 S 11Th Ave Ste 201
City
Pocatello
State
Idaho
Zip
83201-4878
Phone Number
208-234-1984
Fax Number
208-234-1987
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
M5852 (Idaho)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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