Organization
ALL SEASONS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIE ADELFA FULLER ZURENDA COTA/L (CLINICAL ADMINISTRATOR)
(406) 521-0052
Entity
Organization
Contact information
Practice address
1305 LYN DR, BLACKFOOT, ID 83221-3661
(406) 521-0052
Mailing address
1305 LYN DR, BLACKFOOT, ID 83221-3661
(406) 521-0052
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/18/2019
Last updated
03/18/2019
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