Marcial Rodrigo Lemos

NPI #1982131124 in Pocatello, Idaho

Provider Information

NPI Number: 1982131124
Entity Type: Individual
Name: Marcial Rodrigo Lemos
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: May 18, 2017
Last Updated: May 18, 2017

Practice Location

Address: 1800 FLANDRO DR STE 190
City: Pocatello
State: Idaho
ZIP Code: 83202-4940
Phone: (208) 233-2248

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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