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Individual

MR. DARRELL EDWIN KRALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
2180 W IRONWOOD CENTER DR, COEUR D ALENE, ID 83814-2639
(208) 625-3680
(208) 625-3681
Mailing address
2180 W IRONWOOD CENTER DR, COEUR D ALENE, ID 83814-2639
(208) 625-3680
(208) 625-3681

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-468
ID
225100000X
Physical Therapist
PT00005703
WA
2251H1200X
Hand Physical Therapist
PT-468
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1972686087
ID
Enumeration date
10/23/2006
Last updated
01/27/2024
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