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Individual

ELIZABETH AITKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
921 S 8TH AVE # PCD4, POCATELLO, ID 83209-0002
(850) 819-1949
Mailing address
921 S 8TH AVE # PCD4, POCATELLO, ID 83209-0002

Taxonomy

Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
PT-4047
ID

Other

Enumeration date
12/23/2015
Last updated
12/23/2015
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