NPI age
19 years
Enumerated 2006-08-23
Across 2006 active physical therapist providers in Idaho.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | T9479 | BLUE CROSS |
| 01 (ID) | 000010141847 | REGENCE |
Multi-provider organization. 1 individual provider on file at this primary address.
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