NPI age
20 years
Enumerated 2006-03-01
Across 2006 active physical therapist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 806686000 | |
| 01 (ID) | P00061313 | RR MEDICARE |
| 01 (ID) | 0330315 | WA L&I |
| 05 (ID) | 1912974650-000 | |
| 05 (ID) | 1912974650 |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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