Individual
JOHN HENRY ALLEN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3100 S WOODRUFF AVE, IDAHO FALLS, ID 83404-8310
(208) 523-8879
Mailing address
3100 S WOODRUFF AVE, IDAHO FALLS, ID 83404-8310
(208) 523-8879
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-9710
ID
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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