NPI age
20 years
Enumerated 2005-06-27
Across 2006 active physical therapist providers in Idaho.
3 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 806419700 | |
| 01 (ID) | T9321 | BLUE CROSS |
| 01 (ID) | 000010026820 | BLUE SHIELD |
Multi-provider organization. 3 individual providers on file at this primary address.
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