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Individual

CORY BECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
804 PANCHERI DR, IDAHO FALLS, ID 83402-3344
(208) 206-0885
Mailing address
3840 SUMMERWOOD LN, AMMON, ID 83406-7539
(208) 206-0885

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT-4407
ID

Other

Enumeration date
11/24/2020
Last updated
11/24/2020
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