Individual
RACHELLE OLIVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
GARRISON BLDG 63 RM 201, CAMPUS STOP 8045, POCATELLO, ID 83209-8045
(208) 282-2590
(208) 282-4962
Mailing address
GARRISON BLDG 63 RM 201, CAMPUS STOP 8045, POCATELLO, ID 83209-8045
(208) 282-2590
(208) 282-4962
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 1464
ID
Other
Enumeration date
11/11/2013
Last updated
11/11/2013
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