Individual
MRS. ANGELA DAWN ANDRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
2030 JENNIE LEE DR, SUITE A, IDAHO FALLS, ID 83404-7000
(208) 523-8879
(208) 523-0436
Mailing address
611 CEDAR RIDGE DR, IDAHO FALLS, ID 83404-7278
(208) 523-6052
(208) 523-0436
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1085
ID
2251P0200X
Pediatric Physical Therapist
PT1085
ID
Other
Enumeration date
05/30/2008
Last updated
05/30/2008
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