Individual
MS. DONNA STARODOJ ALFS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
128 5TH AVE W, JEROME, ID 83338-1863
(208) 324-3090
Mailing address
PO BOX 850, KETCHUM, ID 83340-0850
(208) 720-5859
(208) 725-0203
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
079
ID
Other
Enumeration date
09/28/2009
Last updated
09/28/2009
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