Organization
PURE INC
Active
Organization
PURE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER J FALETTO PT (OWNER/PRESIDENT)
(208) 691-8888
Entity
Organization
Contact information
Practice address
3655 N GOVERNMENT WAY, SUITE 3, COEUR D ALENE, ID 83815-8332
(208) 691-8888
Mailing address
3655 N GOVERNMENT WAY, SUITE 3, COEUR D ALENE, ID 83815-8332
(208) 691-8888
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1746
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT1746
STATE LISCENSE
ID
Enumeration date
09/12/2007
Last updated
01/16/2010
Update your record
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