Individual
PETER FALETTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3655 N GOVERNMENT WAY, SUITE 3, COEUR D ALENE, ID 83815-8332
(208) 691-8888
Mailing address
3655 N GOVERNMENT WAY, SUITE 3, COEUR D ALENE, ID 83815-8332
(208) 691-8888
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1746
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT1746
IDAHO STATE LICENSE
ID
Enumeration date
08/27/2007
Last updated
08/27/2007
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