NPI age
16 years
Enumerated 2009-10-02
Across 2006 active physical therapist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (WA) | P01052729 | RR MEDICARE |
| 05 (WA) | 1851626220 |
Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.
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