NPI age
18 years
Enumerated 2007-07-02
Across 2006 active physical therapist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (UT) | 292113-2401 | PHYSICAL THERAPY LICENSE |
| 01 (ID) | PT-2094 | PHYSICAL THERAPY |
Solo or small practice. No other active providers share this practice address in NPPES.
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