WALLACE LEONARD ARAVE PT
Individual Provider (NPI-1)
Active
Physical Therapist
Provider Information
- NPI Number
1003721408- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PT
- Status
- Active
Contact & Location
- Address
- 3100 CHANNING WAY, IDAHO FALLS, ID, 834047533
- Phone
- (208) 529-7999
- Fax
- (208) 529-7082
Specialties & Taxonomies
Physical Therapist
Primary License: ID #PT-1828