NPI age
20 years
Enumerated 2005-07-26
Across 2006 active physical therapist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (WA) | 7155104 | |
| 01 (ID) | CG9010 | RAILROAD MEDICARE |
Solo or small practice. No other active providers share this practice address in NPPES.
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