Individual
GRACE G CROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3125 VALENCIA DR, IDAHO FALLS, ID 83404-7575
(208) 529-3332
Mailing address
3125 VALENCIA DR, IDAHO FALLS, ID 83404-7575
(208) 529-3332
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PENDING
ID
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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