Marcial Rodrigo Lemos
Physical Therapy Assistant in Pocatello, ID. Individual provider (NPI-1).
NPI number1982131124
StatusActive
Last updated in NPPESMay 18, 2017
Details
- NPI
- 1982131124
- Entity type
- Individual (NPI-1)
- Name
- Marcial Rodrigo Lemos
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 18, 2017
- Last updated
- May 18, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 5116 | ID | Yes |
Practice location
1800 Flandro Dr Ste 190Pocatello, ID 83202-4940
Phone 208-233-2248
Mailing address
Po Box 91Aberdeen, ID 83210-0091
Phone 208-339-8791
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All 27 Physical Therapy Assistant providers in Pocatello · All 2,770 providers in Pocatello
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