Individual
REGINA UGRINSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
895 N 6TH E, MOUNTAIN HOME, ID 83647-2207
(919) 757-3759
Mailing address
433 CRESTVIEW DR, TWIN FALLS, ID 83301-3202
(919) 757-3759
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
P12822
NC
174400000X
Specialist
Primary
PT-3655
ID
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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