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Organization

IDAHO STATE UNIVERSITY

Active
Other names
Idaho State University Physical and Occupational Therapy Associates
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CINDY SEIGER PT, PHD (DEPARTMENT CHAIR)
(208) 282-4095
Entity
Organization

Contact information

Practice address
1400 E. TERRY, GARRISON BLDG. 63 #202, POCATELLO, ID 83209-8045
(208) 282-2590
(208) 282-4962
Mailing address
921 S 8TH AVE, MAIL STOP 8045, POCATELLO, ID 83209-0001
(208) 282-2590
(208) 282-4962

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
ID
2251N0400X
Neurology Physical Therapist
ID
2251P0200X
Pediatric Physical Therapist
ID
2251X0800X
Orthopedic Physical Therapist
ID

Other

Enumeration date
01/12/2007
Last updated
05/29/2012
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