MRS. Rose Marie Raube, P.T.A

NPI #1053525964 in Driggs, Idaho

Provider Information

NPI Number: 1053525964
Entity Type: Individual
Name: MRS. Rose Marie Raube, P.T.A
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: P.T.A
Enumeration Date: May 9, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 120 E HOWARD ST
City: Driggs
State: Idaho
ZIP Code: 83422-5112
Phone: (208) 354-3128

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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