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Individual

MRS. KATHRYN ANN DARDIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
418 FLOYDE ST, MCCALL, ID 83638-4508
(208) 634-2112
Mailing address
PO BOX 2789, MCCALL, ID 83638-2789
(208) 634-4526

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
PT-440
ID

Other

Enumeration date
11/26/2012
Last updated
11/26/2012
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