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Individual

MARCUS STEPHEN SOWDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
210 W LACROSSE AVE, COEUR D ALENE, ID 83814-2403
(208) 664-2185
Mailing address
13310 E MISSION AVE APT 88, SPOKANE VALLEY, WA 99216-2755
(208) 881-8238

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
P1 60177482
WA
225200000X
Physical Therapy Assistant
Primary
PTA-2839
ID

Other

Enumeration date
04/21/2011
Last updated
04/21/2011
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