NPI age
15 years
Enumerated 2010-06-07
Across 2006 active physical therapist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 0330321 | WA L&I |
| 05 (ID) | 1831419332 | |
| 01 (ID) | P00846336 | RR MEDICARE |
Solo or small practice. No other active providers share this practice address in NPPES.
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