STEPHANIE LIDDLE

PERFORMANCE THERAPY, LLC

Dr STEPHANIE LIDDLE is a female medical professional, specializing in Physical Therapy. She graduated in 1995.

Contact

PERFORMANCE THERAPY, LLC

3125 VALENCIA DR
IDAHO FALLS
ID
834047575

Tel: 2085293332

STEPHANIE LIDDLE Information

Npi 1942489794
Pac Id 8325179542
Professional Enrollment Id I20100701000245
Last Name LIDDLE
First Name STEPHANIE
Middle Name
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 1995
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PERFORMANCE THERAPY, LLC
Group Practice Pac Id 8426189648
Number Of Group Practice Members 4
Line 1 Street Address 3125 VALENCIA DR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City IDAHO FALLS
State ID
Zip Code 834047575
Phone Number 2085293332
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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