NPI age
15 years
Enumerated 2010-08-25
Across 2006 active physical therapist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 | 1619283975 | NPI |
| 05 (ID) | 1619283975-000 |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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