Organization
ANEW DAY PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHALOAM OFISA DC, MS, ACC (OWNER)
(208) 221-2973
Entity
Organization
Contact information
Practice address
750 W QUINN RD STE A, POCATELLO, ID 83202-1929
(208) 221-2973
Mailing address
750 W QUINN RD STE A, POCATELLO, ID 83202-1929
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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