Organization
MIKE DUSBABEK PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE DUSBABEK (OWNER/PHYSICAL THERAPIST)
(208) 755-6945
Entity
Organization
Contact information
Practice address
609 S DOLLAR ST, COEUR D ALENE, ID 83814-3828
(208) 755-6945
Mailing address
609 S DOLLAR ST, COEUR D ALENE, ID 83814-3828
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/19/2019
Last updated
12/19/2019
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