Individual
CLARK DABELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1 PROFESSIONAL PLZ, REXBURG, ID 83440-2024
(208) 359-2500
(208) 359-2502
Mailing address
1800 FLANDRO DR, STE 190, POCATELLO, ID 83202-4940
(208) 359-2500
(208) 359-2502
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2982
ID
Other
Enumeration date
10/02/2014
Last updated
10/09/2017
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