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Individual

RICHARD T SORENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
285 VISTA DR, SUITE A, POCATELLO, ID 83201-4987
(208) 478-1488
Mailing address
2176 E FRANKLIN RD, SUITE 100, MERIDIAN, ID 83642-9024
(208) 288-1155

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2715
ID

Other

Enumeration date
07/06/2010
Last updated
11/23/2021
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