NPI age
13 years
Enumerated 2013-02-07
Across 2006 active physical therapist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (OR) | 1144569336 | |
| 01 (ID) | 0330329 | WA L&I |
| 01 (ID) | P01194492 | RR MEDICARE |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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