NPI age
15 years
Enumerated 2010-06-21
Across 2006 active physical therapist providers in Idaho.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 165348701 | |
| 05 (FL) | PT25574 |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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