Idelia Labra

NPI #1508226408 in Pocatello, Idaho

Provider Information

NPI Number: 1508226408
Entity Type: Individual
Name: Idelia Labra
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Developmental Therapist
Enumeration Date: Mar 4, 2016
Last Updated: Mar 4, 2016

Practice Location

Address: 421 MEMORIAL DR
City: Pocatello
State: Idaho
ZIP Code: 83201-4008
Phone: (208) 234-7952

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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