MR. MARY A KODAK, PTA
Restorative Service Providers at Aqua Ave, Coeur D Alene, ID

License number
Idaho PTA 0313
Category
Restorative Service Providers
Type
Physical Therapy Assistant
Address
Address
500 W Aqua Ave, Coeur D Alene, ID 83815
Phone
(208) 762-1122
(208) 762-1680 (Fax)
National Provider ID: 1427216928
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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