Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities...
ID license #225100000Xtaxonomy 225100000X
Identifiers
Type
Value
Notes
01 (ID)
000010023365
BLUE SHIELD
01
TD780
BLUE CROSS
05 (ID)
804274300
01 (ID)
12083282
CAQH
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Caribou Orthopedic & Sports Rehab
Type code 4recorded 2008-08-13
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
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