Andre Popich

NPI #1336641927 in Lewiston, Idaho

Provider Information

NPI Number: 1336641927
Entity Type: Individual
Name: Andre Popich
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Feb 28, 2018
Last Updated: Jan 12, 2019

Practice Location

Address: 2870 JUNIPER DR
City: Lewiston
State: Idaho
ZIP Code: 83501-4720
Phone: (208) 746-2800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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