Individual
EMILIA DEYCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
180 S MAIN ST STE C2, DRIGGS, ID 83422-5034
(208) 354-3128
Mailing address
233 LELAND FARM RD, ASHLAND, MA 01721-2383
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-6447
ID
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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