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Individual

TRAVIS POOL

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
210 W LACROSSE AVE, COEUR D ALENE, ID 83814-2403

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2282
ID

Other

Enumeration date
11/12/2014
Last updated
11/12/2014
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