NPI age
14 years
Enumerated 2012-04-11
Across 2006 active physical therapist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | P01106195 | RR MEDICARE |
| 05 (ID) | 1003173360-000 | |
| 01 (ID) | P01106202 | RR MEDICARE |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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