NPI age
20 years
Enumerated 2006-03-31
Across 2006 active physical therapist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (IA) | 586685 | |
| 01 (NE) | 6536 | BCBS |
Solo or small practice. No other active providers share this practice address in NPPES.
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