Individual
DANA L MARASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1906 FAIRVIEW AVE STE 410, CALDWELL, ID 83605-5424
(208) 454-9839
(208) 454-0727
Mailing address
1906 FAIRVIEW AVE STE 410, CALDWELL, ID 83605-5424
(208) 454-9839
(208) 454-0727
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5469
OR
225100000X
Physical Therapist
Primary
PT-7384
ID
Other
Enumeration date
10/26/2011
Last updated
10/10/2022
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