Dean Cisco, DPT

NPI #1972296994 in Moscow, Idaho

Provider Information

NPI Number: 1972296994
Entity Type: Individual
Name: Dean Cisco, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: May 26, 2023
Last Updated: May 26, 2023

Practice Location

Address: 700 S MAIN ST
City: Moscow
State: Idaho
ZIP Code: 83843-3056
Phone: (208) 882-4511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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