NPI age
20 years
Enumerated 2006-03-27
Across 2006 active physical therapist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 | TC548 | BLUE CROSS OF ID |
| 01 | 000010150640 | BLUE SHIELD OF ID |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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