NPI age
20 years
Enumerated 2005-12-30
Across 2006 active physical therapist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (IL) | CC6674 | RR MEDICARE |
| 01 (IL) | 753210 | MEDICARE GROUP |
| 01 (IL) | 706410 | MEDICARE GROUP |
| 01 (IL) | CF2064 | RAILROAD GROUP |
Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.
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