NPI age
19 years
Enumerated 2006-07-20
Across 2006 active physical therapist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 | 611894900 | OWCP PIN |
| 01 (ID) | 000010146067 | BLUE SHIELD PIN |
| 01 (WA) | 191869 | WA LABOR & INDUSTRY PIN |
| 05 (ID) | 806910600 | |
| 01 (ID) | T8853 | BLUE CROSS PIN |
Part of a multi-provider practice. 16 other active providers share this practice address in NPPES.
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