NPI age
19 years
Enumerated 2006-06-15
Across 2006 active physical therapist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010159647 | REGENCE |
| 01 (ID) | T6319 | BLUE CROSS |
Part of a multi-provider practice. 30 other active providers share this practice address in NPPES.
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