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Organization
WEBER PHYSICAL THERAPY AND WELLNESS, PLLC
Active
Organization
WEBER PHYSICAL THERAPY AND WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLYN WEBER DPT (OWNER)
(505) 412-8384
Entity
Organization
Contact information
Practice address
580 FAIRMONT AVE, POCATELLO, ID 83201-3808
(505) 412-8384
(208) 908-7115
Mailing address
580 FAIRMONT AVE, POCATELLO, ID 83201-3808
(505) 412-8384
(208) 908-7115
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
07/14/2020
Last updated
09/08/2021
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