Individual
ALIITASI LYNN GUERRERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1957 ALVIN RICKEN DR, POCATELLO, ID 83201-2727
(208) 235-7800
Mailing address
750 W QUINN RD STE A, POCATELLO, ID 83202-1929
(208) 390-7499
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/23/2019
Last updated
09/27/2022
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