Individual
MRS. CYNTHIA BRAGG PESCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2170 W IRONWOOD CENTER DR, COEUR D ALENE, ID 83814-2606
(208) 677-1988
Mailing address
2170 W IRONWOOD CENTER DR, COEUR D ALENE, ID 83814-2606
(208) 677-1988
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
7566
CO
225100000X
Physical Therapist
Primary
PT5418
ID
Other
Enumeration date
07/13/2007
Last updated
09/14/2018
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