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Individual

CHARLA-JO OLORENSHAW SPRADLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
26453 N OLD HIGHWAY 95, ATHOL, ID 83801-7076
(208) 597-4595
Mailing address
26453 N OLD HIGHWAY 95, ATHOL, ID 83801-7076
(208) 597-4595

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-425
ID

Other

Enumeration date
07/12/2010
Last updated
01/23/2019
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