Mr Mark Lowell Osadchey, RPT | |
3310 Valencia Dr, Idaho Falls, ID 83404-7502 | |
(208) 520-4041 | |
(208) 745-9477 |
Full Name | Mr Mark Lowell Osadchey |
---|---|
Gender | Male |
Speciality | Physical Therapist - Geriatrics |
Location | 3310 Valencia Dr, Idaho Falls, Idaho |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992872923 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251G0304X | Physical Therapist - Geriatrics | PT-1001 (Idaho) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Mark Lowell Osadchey, RPT Po Box 3914, Idaho Falls, ID 83403-3914 Ph: (208) 520-4041 | Mr Mark Lowell Osadchey, RPT 3310 Valencia Dr, Idaho Falls, ID 83404-7502 Ph: (208) 520-4041 |
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