Individual
RENEE A WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
620 S WOODRUFF AVE, IDAHO FALLS, ID 83401-5299
(208) 419-3408
(208) 419-3412
Mailing address
620 S WOODRUFF AVE, IDAHO FALLS, ID 83401-5299
(208) 419-3408
(208) 419-3412
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-4146
ID
Other
Enumeration date
08/19/2015
Last updated
04/05/2021
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