Individual
DARLA WESSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2200 IRONWOOD PL, COEUR D ALENE, ID 83814-2610
(208) 667-6486
Mailing address
10626 E RAVEN RIDGE RD, COEUR D ALENE, ID 83814-9591
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 289
ID
2251G0304X
Geriatric Physical Therapist
PT 289
ID
Other
Enumeration date
06/28/2007
Last updated
03/06/2018
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