Lon Miguel Egbert, PT, ATC

NPI #1437130952 in Jerome, Idaho

Provider Information

NPI Number
1437130952
Entity Type
Individual
Name
Lon Miguel Egbert, PT, ATC
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Physical Therapist
Credential
PT, ATC
Enumeration Date
Nov 10, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
128 5TH AVE W
City
Jerome
State
Idaho
ZIP Code
83338-1863
Phone
(208) 324-3090

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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Organizations

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