NPI age
15 years
Enumerated 2010-07-13
Across 44 active physical therapist providers in Idaho.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | PT2662 | LICENSE |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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