NPI age
11 years
Enumerated 2014-07-08
Across 2006 active physical therapist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 0330314 | WA L&I |
| 05 (ID) | 1144636358 |
Doing-business-as, former, and alternate names recorded by NPPES.
Single-site organization. Only one practice location on file.
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