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Individual

MRS. ANGELA M. BECK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
330 S 4TH AVE, POCATELLO, ID 83201-6403
(208) 221-6506
Mailing address
330 S 4TH AVE, POCATELLO, ID 83201-6403
(208) 221-6506

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-959
ID

Other

Enumeration date
10/02/2007
Last updated
03/19/2013
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