Pocatello Rehabilitation PA

NPI #1528143864 in Pocatello, Idaho

Provider Information

NPI Number: 1528143864
Entity Type: Organization
Organization Name: Pocatello Rehabilitation PA
Primary Specialty: Specialist
Enumeration Date: Oct 26, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 500 S 11TH AVE STE 201
City: Pocatello
State: Idaho
ZIP Code: 83201-4878
Phone: (208) 234-1984

Authorized Official

Name: MR. KEVIN S. HILL, M.D.
Title: PRESIDENT
Phone: (208) 234-1984

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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