NPI age
18 years
Enumerated 2007-06-26
Across 2006 active physical therapist providers in Idaho.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 3103878 | LICENSE# |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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